LAPAROSCOPIC APPROACH TO SMALL BOWEL OBSTRUCTION

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RESOLUTION OF BOWEL OBSTRUCTION
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ARE THERE CONCERNS ABOUT MICROCIRCULATION AND BOWEL VIABILITY?
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1 FL OF ICG POWDER 25 MG 5MG/ML + 10 ML INJECTABLE STERILE WATER
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IV BOLUS OF 2 ML OF THE SOLUTION

PLEASE NOTE. Despite the repeatability of IV boluses, it is still recommended not to exceed the maximum dose recommended in the product leaflet
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OBSERVATION OF THE COMPROMISED BOWEL SEGMENT FROM THE START OF THE INJECTION UNTIL TO THE FIRST FLUORESCENCE
PLEASE NOTE. Observation of both arterial supply and venous drainage. If the bowel remains fluorescent it means that is congested! It is useful to compare the compromised bowel with the healthy one
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EVENTUAL REPETITION OF THE BOLUS AND OBSERVATION AFTER GENEROUS IRRIGATION WITH WARM  NORMAL SALINE IF NEEDED
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DECISION RESECTION vs PRESERVATION
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TAKE A PICTURE OR MAKE A BRIEF VIDEO
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SEND IT TO THE TELEGRAM GROUP OR UPLOAD IT LATER ON THE  ONLINE FORM naming the file with center ID followed by a dash and patient ID.

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WRITE DOWN THE DATA ON THE PAPER CRF

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WHEN THE PATIENT IS DISCHARGED COPY THE DATA ON THE ONLINE FORM AND ENROLL HIM/HER IN THE STUDY