15. Clinical outcomes of 42 patients with acute small bowel obstruction: Results from a single center, retrospective study
Main Article Content
Abstract
Postoperative intestinal obstruction is a complicated disease related to previous abdominal surgery due to peritoneal adhesions. The treatment method depends on the level of adhesion, intestinal damage, and the surgeon's experience.. We retrospectively reviewed the records of patients who underwent postoperative intestinal obstruction between January 2018 and December 2023 at Bach Mai Hospital. The study group of 42 patients comprised 22 females (52.4%) and 20 males (47.6%). The mean age was 54.9 ± 15.7 years old (range, 24 – 96 years old). The proportion of patients after obstetric surgery, appendectomy, and small bowel resection were 35.7%, 35.7% and 19%, respectively. Patients who had abdominal surgery once, twice, and three times were 71.4%, 26.2%, and 2.4%. The rates of ligament amputation plus deadhesion, deadhesion, small intestine resection and unscrewing were 19.1%, 42.8%, 31% and 7.1%, respectively. A common complication during surgery was tearing or bursting of the small intestine, with 40.5% and 4.8%, respectively. The duration of defecation and hospitalization after surgery was 3.6 (2 – 6) and 9.7 (5 – 21) days. The results suggest that open surgery was feasible and safe. However, this procedure always carries the risk of perforation or tearing of the small intestine.
Article Details
Keywords
Postoperative intestinal obstruction, open surgery, complications, intestinal adhesions, small intestine resection, ligaments.
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