Abdominal Hysterectomy Case Studies

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Recommended: Postoperative pain management in the hospital setting

An 82-year-old woman underwent total abdominal hysterectomy and bilateral salpingo-oophorectomy for pyometra confirmed on pathology. She received 7mg morphine postoperatively. On postoperative day 3, she was found to have painless abdominal distension with decreased bowel sounds. An abdominal radiograph revealed an absence of free air and dilatation of the cecum to 14 cm in diameter. A nasogastric tube was inserted, and colonoscopic decompression was performed. The endoscopist reached the midtransverse colon with expulsion of gas and liquid stool. Patient discharged after

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