Video Tip: Perforation Management | July 2021-Perforation Management

Video Transcription

Video Summary

In this video, the speaker discusses the management of colon perforation during a polyp resection procedure. They recommend reducing the CO2 content of the colon by sucking out the air and diverting fluids away from the lesion. IV anti-peristaltic agents are suggested to minimize interference during resection and perforation closure. If a patient experiences a delayed perforation, they may develop severe abdominal pain, distention, tenderness, and fever. It is advised to administer broad-spectrum antibiotics, arrange an urgent CT scan, and involve the surgical team promptly. The speaker emphasizes the importance of surgeon involvement, even if the patient appears to be doing well. The video is provided by www.iclinic.co.uk.

Keywords

colon perforation

polyp resection

CO2 reduction

anti-peristaltic agents

delayed perforation