Post-Operative Adhesive Intestinal Obstruction, Risk Factors and Complications.
Iraqi Postgraduate Medical Journal,
2015, Volume 14, Issue 3, Pages 370-378
Post-operative adhesions form a main lifelong surgical issue, Adhesive intestinal obstruction remains the main complications of adhesions.multiple Risk factors play an important role in the initiation of the disease and its Management.
To identify the risk factors that increases the incidence of Adhesive intestinal obstruction and the complication of surgical intervention.
PATIENTS AND METHODS :
One hundred and eight patients with adhesive Intestinal obstruction (out of two hundreds and ten patients with acute intestinal Obstruction) were admitted to the surgical wards of Al-Yarmouk Teaching Hospital, studied prospectively for the period between the 1st of January 2013 and the 30th of April 2014 . Data obtained regarding different parameters like Age ,sex, number and types of previous operations,management of those patient Whether conservative or operative.
Adhesive intestinal obstructions are (51.43%) of the total cases with Acute intestinal obstruction. The highest incidence was among age group between 30-39Year, (32.4%). Explorative laparotomy are the main risk factors for postoperative adhesions with an incidence of 29.6%. The recurrence rate after surgery For adhesive intestinal obstruction is 13.8%.
Since the recurrence rate after surgical Intervention in adhesive intestinal obstruction is relatively low, the role for conservative measures may be limited to a short period of time.
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