Study of Etiology, Fatal Outcome and Different Surgical Techniques in the Management of Small Bowel Obstruction.

Abstract

Background: Small bowel obstruction is a common surgical emergency and is a leading cause of admission in emergency department worldwide. The aim of this study is to evaluate various etiology and fatal complications of different surgical techniques in the management of small bowel obstruction. Subjects and Methods: A retrospective study of 95 patients >14 years of age suffering from small bowel obstruction admitted in the department of general surgery in a tertiary care hospital in eastern India was done. The study period was April 2016 to March 2018. Results: The various causes of small intestinal obstruction included adhesions (most common 34.8%) followed by intestinal tuberculosis (26.31%) and obstructed/strangulated hernia (23.15%). Adhesiolysis (34.7%) was the commonest operation done followed by resection anastomosis (23.15%) and ileostomy creation (15.7%). The commonest fatal post-operative complication observed was pulmonary complications (9.47%) with an overall mortality rate of 10.5%. Conclusion: Early diagnosis and timely intervention is the key in the surgical management of small bowel obstruction as delay may increase morbidity and mortality significantly.

Intra-abdominal propylene suture fragment leading to complete small bowel obstruction: A case report

“…The United States estimates 1% of all hospitalizations, 3% of emergency surgical admissions to general surgical hospitals and 4% of emergency laparotomies are done for bowel obstruction, usually secondary to adhesions [7] . In India, adhesions are listed as the most common cause of bowel obstruction followed by intestinal tuberculosis and obstructed/strangulated hernia [8] . Studies report that 93% to 100% of patients undergoing transperitoneal surgery will develop adhesions [9] .…”