We present the perioperative management of a 5-year-old boy with intestinal obstruction and two episodes of cerebral haemorrhage who presented for pheochromocytoma resection and enterolysis.
Here, we describe the perioperative management of pheochromocytoma resection and enterolysis in a 5-year-old boy with cerebral haemorrhage and intestinal obstruction.
There was a precipitous fall of BP and CVP in the initial period of enterolysis, together with an increase of SVV (Figure 2).
The hypotension in the initial stage of enterolysis can be a consequence of blood volume depletion, and long-acting non-specific a-adrenergic blocking agents.
We found the main route to the abdominal cavity, and then we did laparotomy and enterolysis
Upon entering the abdominal cavity, enterolysis
was performed to free the transverse colon from the hernia sac.
With excision and ablation of the capsules, complete enterolysis is finally achieved (b).
In addition, linear excision of the capsules can often be performed at several regions of the small intestine if complete enterolysis is difficult to accomplish.
Operatively, we have utilized minilaparoscopic instrumentation for excision of endometriosis, ovarian cystectomy, adhesiolysis, enterolysis
, tuboplasty, and supracervical and total hysterectomy with or without bilateral salpingo-oophorectomy.
15) Damage can occur during insertion of the Veress needle or trocar when the bowel is immobilized by adhesions, or during enterolysis
In anticipation of possible enterolysis or intestinal tract surgery, all patients should undergo preoperative bowel preparation.
All patients should undergo preop bowel preparation because of the possible need for enterolysis or intestinal tract surgery