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Year : 2020  |  Volume : 26  |  Issue : 2  |  Page : 205-207

Post-operative adhesive intestinal obstruction

Department of General Surgery, Government Medical College, Kozhikode, Kerala, India

Correspondence Address:
Dr. T K Ravidas
Thottungal House, Yakkara Road, Palakkad - 678 014, Kerala
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/ksj.ksj_13_20

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Introduction: Post-operative adhesions are the most important cause of small-bowel obstruction. This article aims to analyse the clinical manifestations, causes and management of patients diagnosed with post-operative adhesive intestinal obstruction. Methodology: The study was conducted in 91 patients aged >12 with characteristics of intestinal obstruction who were having a previous history of abdominal surgery. Scores were given for each clinical parameter. From the data collected various clinical manifestations, previous surgeries and intraoperative findings and their management were analysed. Pearson Chi-Square test and Fisher's exact test were used to examine the data in SPSS software. Results: Open appendicectomy was the most common previous surgery. The average interval between the onset of symptoms after surgery was 36 months. More number of recurrent adhesive small-bowel obstruction were associated with colorectal surgeries. Majority of the surgical intervention was made after 48 h of presentation and conservative treatment. Majority of the operated patients underwent adhesiolysis. There was a significant relationship between clinical features such as vomiting constipation, tachycardia, hypotension and operative management. Conclusion: Early surgery is advised for patients with clinical features of strangulation and conservative management for uncomplicated cases and surgical intervention if the progression of symptoms occurs. No effective prophylaxis could be found.

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