A comparative study of intestinal obstruction due to postoperative adhesions following various abdominal and pelvic procedures.

Autor: Singh, Jagdish, Bhutra, Shyam, Khorwal, Bhagchand, Jain, Piyush
Předmět:
Zdroj: Indian Journal of Basic & Applied Medical Research; Jun2020, Vol. 9 Issue 3, p177-183, 7p
Abstrakt: Background: Peritoneal adhesions are pathological bonds usually between omentum, loops of bowel and the abdominal wall. Peritoneal adhesions are mostly induced by surgical procedures in the peritoneal cavity. Aim: to study aetiology, clinical features, investigations and treatment modalities used for intestinal obstruction caused by various abdominal and pelvic procedures. Methods: Prospective hospital-based study on 100 cases of intestinal obstruction with previous history of abdominal or pelvic operation by consecutive sampling during January 2018 to Dec 2019 at dept of surgery J.L.N. Medical College & AGH, Ajmer. All data collected was analyzed with help of Epi info software from CDC and tests of significance considering level of significance as p<0.05. Results: Patient age range was 12 to 81 years, previous surgery within 5 years duration was reported in 42% cases, most common cause (50%) was Laparotomy. Sixty five percent were treated conservatively and mean stay was 11.23 days. Out of 35 cases operated for Subacute intestinal obstruction 37.14% cases presented with wound infections. Conclusion: Most of these patients can be managed conservatively, however, some might need operative procedure in the form adhesiolysis and at times resection anastomosis. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index