Incidence and risk factors of early postoperative small bowel obstruction in patients undergoing hysterectomy for benign indications

Abstract

Perioperative transfusion 5.38 (3.85e7.49) 5.01 (3.54e7.13) aOR, adjusted odds ratio; CI, confidence interval; OR, odds ratio. a Referent.

A Case of Early Small Bowel Obstruction After Total Abdominal Hysterectomy: A Rare Case

“…We were not able to found previous case reports of obstruction occurring secondary to adhesions in such a short span of time. A similar study was done by Sheyn et al to estimate the incidence and risk factors of early post-operative SBO in patients undergoing hysterectomy for benign indications [9].…”

Postoperative Ileus Complicated with Incomplete Evisceration after Hysterectomy for Benign Pathology

“…Our patient was healthy discharged and shall return to programmed follow-ups. As other studies report (1,15), the hospitalization lasted for a long time (30 days) and was rather expensive. Cases like that are a burden for hospitals, thus prophylaxis measures for POI is mandatory for every surgical case.…”

“…Postoperative ileus (POI) is a complex phenomenon which occurs commonly after abdominal surgery, especially with oncological features. Nevertheless, there have been few cases for POI following hysterectomy in benign cases -a retrospective cohort study shows rates of 0.12-1.1% among the approximately 400.000 hysterectomies performed annually (1). The lack of a definition and criteria to diagnose this physiological arrest of gastrointestinal transit in response to surgical stress, makes this complication particularly difficult to approach (a degree of ileus can be expected in the early postoperative phase).…”

“…• nausea and vomiting, • no tolerance for solid of semi-liquid diet during the previous 24 hours, • no gas or stool for the previous 24 hours, • abdominal distension, • radiological evidence of ileus. Several risk factors have been identified: male gender, elevated BMI, advanced age, use of opioids, previous abdominal surgery, hypokalemia, smokers, major blood loss, blood transfusions, concomitant appendectomy, contaminated wounds, uterine weight (> 250g), operating time (>170 min) (1,2,4).…”

Possibilities of drug experimental simulation of dynamic intestinal obstruction

“…Сложность представляют полиэтиологичность данного заболевания, коморбидность и возраст пациентов, лекарственный анамнез, что затрудняет дифференциальную диагностику кишечной непроходимости. Этот факт зачастую приводит к напрасным операциям по поводу ДКН, которая может быть разрешена консервативными мерами [5].…”