•  
  •  
 

Abstract

ABSTRACT : BACKGROUND : 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. OBJECTIVE: 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. RESULTS: 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%. CONCLUSION: 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.

Download

Share

COinS