This can be a very disturbing condition and its treatment for me still has to be debated. Watching the patients before treating in cases of non-surgical approach for me isn't the best, in such case, surgery is preferable to prevent complications that might arise from watching the patient for progression.
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Yes, you are very correct ma. I once raised a similar concern in a surgery ground rounds but the argument was that for those who have intestinal obstruction due to adhesions for instance, going in for surgery is another risk factor for more adhesions and possible another intestinal obstruction in the future.
Also, cases of fecal impaction can benefit more from soap and water enema and laxatives more than sugery, unless the conservative management fails.
Though, I agreed with the consultant's view, however, I still believe that early Surgery will save these patients from the possible complications from a failed conservative management as you rightly stated.
Thanks for your wonderful contribution ma.
This debate has been standing for a long time, I also see reasons for treating without invasion, I just believe surgery would save a life and reduce complications. Thanks a lot for replying
Very correct. You're welcome ma. Many thanks 🙏