Association between clinical and surgical variables with postoperative outcomes in patients treated for intestinal obstruction for non-malignant conditions: a cross-sectional study

Girón, Felipe; Chaves, Carlos Eduardo Rey; Rodríguez, Lina; Rueda-Esteban, Roberto Javier; Núñez-Rocha, Ricardo E.; Pedraza, Juan Daniel; Conde, Danny; Vanegas, Marco; Nassar, Ricardo; Herrera, Gabriel; Hernández, Juan David

doi:10.1038/s41598-023-41328-6

Cited by 2 publications

References 27 publications

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Teaching residents in emergency surgery for acute bowel obstruction—is supervised surgery safe and feasible? A retrospective single-center analysis from a MIS-specialized hospital

Hoi,

Ebner,

Grünbart

et al. 2024

Surg Endosc

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Objective Emergency surgery for acute bowel obstruction (ABO) is a common and occasionally technically demanding procedure, requiring both surgical skill and strategic planning. The risk entailed in teaching residents during ABO surgery has not been defined or investigated in detail to date. It is the aim of this study to reveal whether surgery for ABO, performed by resident surgeons under supervision, is safe and feasible. Design A retrospective analysis was conducted of all emergency surgeries for ABO performed between 2009 and 2023 at a community-based hospital. Patients’ general characteristics, procedural data and outcome parameters were compared. Differences between teaching procedures and non-teaching procedures were analysed. Setting The study was conducted at the Department of General and Visceral surgery at a community-based hospital (St. John of God Hospital Salzburg, Austria). Participants All emergency surgeries for ABO (n = 300 patients) that were performed during the study period were included. Results Emergency surgery for ABO was performed in 300 patients during the study period, 15.3% of which operations were performed by residents under supervision and 84.7% by senior surgeons. No differences between these two groups were found in terms of patient characteristics, except for a past medical history of previous gynecologic or urologic surgery that was more frequent in the senior surgeon group (p = 0.02). Neither procedural data nor conversion rates from a minimally invasive (MIS) to an open (OS) approach, nor postoperative complication rates were found to be significantly different between these groups. Conclusion Emergency surgery for ABO, performed by residents under supervision, is safe and feasible, showing no significant differences in terms of complication rates, morbidity or mortality as compared to procedures performed by senior surgeons. Graphical abstract

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Teaching residents in emergency surgery for acute bowel obstruction—is supervised surgery safe and feasible? A retrospective single-center analysis from a MIS-specialized hospital

Hoi,

Ebner,

Grünbart

et al. 2024

Surg Endosc

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Acute Mechanical Bowel Obstruction: Clinical Presentation, Etiology, Management, and Outcome

Matar,

Obadiel,

Jowah

2024

Preprint

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Purpose: The aim of this study was to investigate the clinical presentation and etiology of acute mechanical bowel obstruction while assessing the incidence of complications such as intestinal perforation and necrosis. Patients and Methods: This prospective observational study was conducted at Al-Thawra General Modern General Hospital (TMGH) in Sana'a, Yemen, spanning the period from October 2022 to October 2023. A total of 106 patients diagnosed with AMBO were enrolled, and comprehensive data were collected on demographics, clinical presentation, management strategies, surgical interventions, etiology, complications, and patient outcomes. Results: The study included 106 patients with AMBO. The majority of patients were male (66.0%), and the most affected age group was 31-60 years (51%). The common presenting symptoms included constipation (90.6%), vomiting (96.2%), and absolute constipation (75.5%). Adhesions were identified as the predominant cause of AMBO (41.5%), followed by hernias and large bowel masses. Surgical intervention was performed in the majority of cases (71.7%), with resection and anastomosis (29.2%) being the most frequently performed procedures. Intraoperative complications included bowel ischemia (17.0%), necrosis (12.3%), and perforation (6.6%). Postoperative complications primarily manifested as wound infections (31.6%). The majority of patients showed improvement and were discharged (89.6%), but the mortality rate was 10.4%. Conclusion: Our study on AMBO in Yemen found a higher prevalence in males and middle-aged individuals, with small bowel obstruction being more common. Adhesions, hernias, and large bowel masses were identified as the primary causes. Surgical intervention was frequently required, with resection and anastomosis being the most common procedures. Postoperative complications, including wound infections, were observed. Further multicenter studies are warranted to validate and generalize the findings of this investigation.

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Association between clinical and surgical variables with postoperative outcomes in patients treated for intestinal obstruction for non-malignant conditions: a cross-sectional study

Cited by 2 publications

References 27 publications

Teaching residents in emergency surgery for acute bowel obstruction—is supervised surgery safe and feasible? A retrospective single-center analysis from a MIS-specialized hospital

Teaching residents in emergency surgery for acute bowel obstruction—is supervised surgery safe and feasible? A retrospective single-center analysis from a MIS-specialized hospital

Acute Mechanical Bowel Obstruction: Clinical Presentation, Etiology, Management, and Outcome

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