Study on Surgical Management of Acute Intestinal Obstruction in Adults
Journal Title: International Journal of Contemporary Medical Research - Year 2017, Vol 4, Issue 9
Abstract
Introduction: Bowel obstruction is the most common intra-abdominal problem faced by general surgeons in their practice. It accounts for 12-16% of surgical admissions for acute abdomen.1 The clinical presentation varies from slight discomfort, abdominal distension to the state of sepsis or hypovolemic shock or both requiring an emergency intervention which all depends on the age of the patient, comorbidities, nutritional and hydration status, level of obstruction, the presence of contamination in the peritoneal cavity. Hence timely diagnosis, prompt resuscitation and proper intervention with skilful technique in surgery are needed for an optimal outcome and to reduce the mortality rate.16 Aim: To study the various ways of presentation, variousetiologies, importance of early recognition, Diagnosis and management. To study the various influencing factors like age, sex, diet and socio-economic status in the pathogenesis of acute intestinal obstruction. To study the morbidity and mortality rates in acute intestinal obstruction. Material and Methods: The incidence of acute bowel obstruction in adult age group was studied from the cases admitted in Department of Surgery of Thanjavur Medical College Hospital attached to the thanjavur Medical College, Thanjavur during the period 1st March 2015 to 31st December 2016. Results: The study showed maximum incidence is in the age group of 31 to 40 years. Males are commonly affected. Post Operative adhesions are the most common cause of Intestinal obstruction. Conclusion: Acute intestinal obstruction remains to be an important surgical emergency in the surgical field. Success in the management of acute intestinal obstruction depends largely upon the early diagnosis, skilful management and treating the pathological effects of the obstruction as much as the cause itself.
Authors and Affiliations
P. Vanathi, B. Aquinas, V. Meenakshi Sundaram
Keywords
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