Uttora Adunik Surgary 01

By Musa Al Amin / May 20, 2026

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A patient presents with right lower quadrant colicky pain, vomiting, and imaging showing a localized, resectable cecal growth causing obstruction. Which is the definitive surgical treatment?

Limited ileocecal resection without lymphadenectomy

Loop ileostomy to relieve obstruction

Right Hemicolectomy with ileotransverse anastomosis

Segmental colectomy with primary anastomosis

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In a malnourished patient with malignant distal ileal obstruction, which preoperative factor significantly increases the risk of postoperative anastomotic failure?

Advanced age

Hypoalbuminemia

Mild anaemia

Recent minor infection

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A patient has undergone extensive resection of terminal ileum. Months later, which laboratory abnormality would you most likely expect as a result of impaired nutrient absorption?

Elevated serum folate

Low Vitamin B12 level with macrocytosis

Low iron with microcytosis

Hyperphosphatemia

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Following curative resection of the small bowel, a patient develops recurrent intestinal obstruction several months later. What is the most common underlying cause of this complication?

Internal hernia

Postoperative adhesions

Recurrent malignancy

Stricture at anastomosis

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On postoperative day 4, a patient develops fever, tachycardia, severe abdominal pain, and bilious or feculent fluid in the surgical drain. Which complication should be suspected most strongly?

Mild postoperative ileus

Anastomotic leak

Early postoperative intra-abdominal abscess

Superficial wound infection

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After curative resection for colon cancer, which pathological feature provides the strongest prognostic information regarding recurrence risk and overall survival?

Tumor differentiation

Histologic subtype

Lymph Node Status

Presence of perineural invasion

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During bowel anastomosis, what is the most critical technical factor that significantly reduces the risk of postoperative anastomotic leak?

Tight sutures causing ischaemia

Tension-free anastomosis with good blood supply

Routine prophylactic drains

Large skin incision for exposure

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When is performing a primary bowel anastomosis strongly contraindicated?