Risk of adhesive bowel obstruction after abdominal surgery. A national cohort study of 665,423 Danish women
| Autor: | Ellen Christine Leth Loekkegaard, Lisbeth Nilas, Carsten Thye Agger, Annette Settnes, Marie Krabbe-Sorensen, Christina Norrbom, Merete Osler, Marianne Steding-Jessen |
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| Rok vydání: | 2019 |
| Předmět: |
Adult
medicine.medical_specialty Adolescent Denmark Tissue Adhesions 030230 surgery National cohort Surgical methods Danish 03 medical and health sciences Postoperative Complications 0302 clinical medicine Risk Factors Abdomen medicine Humans Registries 030212 general & internal medicine Child Aged Aged 80 and over business.industry Incidence General Medicine Middle Aged medicine.disease language.human_language Surgery Bowel obstruction Cohort language Female business Intestinal Obstruction OBSTETRICAL PROCEDURES Abdominal surgery Cohort study |
| Zdroj: | The American Journal of Surgery. 217:694-703 |
| ISSN: | 0002-9610 |
| Popis: | Background Adhesive bowel obstruction is associated with considerable morbidity and mortality, but the magnitude of the risk is debated. Method In a national cohort of all Danish women with an abdominal operation (N = 665,423) between 1977 and 2013, the risk of adhesive bowel obstruction was assessed by Cox multiple regression. Covariates were the number of abdominal operations, the surgical methods, the anatomical site involved, and the calendar year. Results In the cohort, 1.4% experienced an episode of adhesive bowel obstruction. The risk increased 33–43% during the study period, was lower after gynecological and obstetrical procedures compared to gastrointestinal (HR 0.36 [0.34–0.38]), lower after laparoscopic compared to laparotomic surgery (HR 0.51 [0.48–0.54]) and increased proportionally after each additional operation. Conclusions The risk of adhesive bowel obstruction after abdominal operations depends on the site of earlier operations, the method of access and the number of earlier operations. |
| Databáze: | OpenAIRE |
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