small bowel obstruction

my father had lysis of adhesions on may 4th after surgery he has had many complications acute renal failure resp failure metabolic acidosis he was taken back to surgery a week later for possible obstructoins the surgen stated when he got in the instestions were so red and inflamed that he knicked the small intestions 3 times and he sutured then and was unable to do anything so he left him open  now he has an open abd and no bowel sounds i would like to know if there is anything that can be done he is on hemodialysis and on the vent he is on tpn and they started sandistatin today he is receiving atb thearpy also he is very ill his blood pressure and pulse has remained stable without any assistance from medication he is also on a versed drip which keeps him sedated the outcome is poor but i still have hope he is 79 a young 79 the only medications he was on prior to surgery was prilosec and naproxen for arthritis his cr today was 6.4 down from yesterday 6.7 that was after dialysis i would like to know if he is receiving adequate care and from what i have told you is there anything else that can be done his wbc was 16 today down from 21 phos was 10.7 yesterday and is 9.4 today  thank you please give any advice that you think might help

[Kevin Pho, MD]

It is impossible to determine whether the care is adequate from the internet without examination and review of the chart.  

From the brief description, it seems that your father is quite sick and the post-op course was rocky.  

If there is concern about the hospital course, it is always possible to obtain another opinion.  With your father on a vent, he would be in a critical care unit.  Obtaining an opinion from another intensivist as well as a surgeon can be considered if you are not comfortable with the treatment course.  

This option can be discussed with your personal physician.

Followup with your personal physician is essential.

This answer is not intended as and does not substitute for medical advice - the information presented is for patient education only. Please see your personal physician for further evaluation of your individual case.

Kevin, M.D.
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