Clinical study and surgical management of acute intestinal obstruction in adults
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 5, Issue 1
Abstract
Background: Intestinal obstruction is a common surgical emergency all over the world that accounts for at least 20% of all admissions to a surgical service. Objective: The objective of this study is to identify the cause, mode of presentation, various modalities of treatment and out come with least complications of acute intestinal obstruction. Materials and Methods: 70 patients who were admitted in the surgical ward with diagnosis of acute intestinal obstruction in NIMS Medical College and Hospital over a period of one and a half years i.e. from Jan 2016–june 2017 were taken randomly and managed. Among these 41 were males and 9 were females. Results: In this study, 43 (61.4%) cases were male while 27 (38.6%), were female giving a male female ratio of 4.3:2.7 which showed a male preponderance. All cases are of mechanical obstruction. Mechanical SBO was the commonest type, 42(60%), followed by mechanical LBO, 18 (25.7%), while mechanical SBO/LBO was found in, 10 (14.3%). The main cause of intestinal obstruction at National Institute of Medical Science and Research is due to adhesions and bands, 45.7%, mainly associated with previous laparatomies. Conclusion: The main cause of intestinal obstruction is adhesions from previous surgeries, followed by strangulated hernias and neoplasms.
Authors and Affiliations
Bhuwnesh Sharma, Ravi Kumar Mathur, Arun Dhankhar
Keywords
Related Articles
- EP ID EP263856
- DOI -
- Views 177
- Downloads 0
Clinico- epidemiological profile of pancreatic and Peri-Ampullary cancers
Background: From a worldwide perspective, pancreatic cancer rates are highest in Western and industrialized countries and lowest in developing nations. An exception is noted in the Maoris, a Polynesian people native to N...
Role of laparoscopy in the diagnosis and management of nonspecific abdominal pain
Background: Patients withnonspecific abdominal pain undergo multiple, often costly, investigations. A definitive diagnosis is not always possible with non-invasive imaging tests. A delay in surgical intervention while fu...
Cost effectiveness of Lichtenstein mesh hernioplasty vs modified Bassini’s repair: A comparative study
Background: Inguinal hernia is a leading cause of disability and loss of work. These newer techniques of hernia repair are having lower complication rates, but the cost is too high with non-availability in many areas. Ai...
Comparative study on post operative complication between mini laparotomy cholecystectomy and standard conventional open cholecystectomy
Background: Surgical procedures like open cholecystectomy (OC) and mini-laparotomy cholecystectomy (MLC) are used for the management of cholelithiasis. Objective: Objective of present work was to compare post operative c...
A Study of age wise distribution of various upper GI endoscopic findings at tertiary health care center
Background: Dysphagia is a Greek word and means disordered eating. Dysphagia typically refers to difficulty in eating as a result of disruption in the swallowing process. Aims and Objectives: Study of age wise distributi...