Dr. Satya Damarla (General Surgery) needs a second opinion on this medical case.
A 55 year old male pt who has been operated for umbilical hernia - anatomical repair presented on pod 15 with
Pain abdomen ,abdominal distension, obstipation and bilious vomitings since 2days
Stable vital signs with PR -90/min
Distended abdomen with tenderness periumblically &hypogastric regions
Suggest the workup and management of the pt