Results of repeat operation for early adhesive intestinal obstruction

Abstract

Introduction and Aim: One of the formidable complications in abdominal surgery is early intestinal obstruction, which quickly leads to the development of severe endotoxicosis, and intra-abdominal hypertension. The objective of this study is to present the results of repeat operation of early adhesive intestinal obstruction. Methodology: There were 27 patients (13 men and 14 women) aged 17-73 years under observation, who were re-operated for early intestinal obstruction that occurred after operations on abdominal organs. Twenty-four operations were performed by laparotomic access and three by laparoscopic access. Eighteen were operated on an emergency basis and nine were operated on as per plan. Results: After diagnosis, all patients were operated on under endotracheal anesthesia with median laparotomy access, with the timing of the intervention being different. So, on the first day after the obstruction was detected, five patients were operated on, 15 patients from 24-72 hours, six patients from 3-5 days, and one patient was operated on after five days. This study shows the severity of the condition of patients with early intestinal obstruction and the complexity of treatment. Conclusion: After surgery, treatment should be comprehensive and aimed at etiopathogenesis and affect intra-abdominal pressure, endotoxicosis, and nutritional support.