Surgical Management of Intestinal Obstruction
Keywords:Intestinal obstruction, classification, causes, small bowel obstruction, large bowel obstruction
Background : Intestinal obstruction is one of the common abdominal emergencies and if not treated and
delayed it may lead to bowel ischemia. Hence diagnosis and management of the patient with intestinal
obstruction is one of the most important and challenging step to decrease its morbidity and mortality. This
mortality due to acute intestinal obstruction can be decreased with better understanding of pathophysiology,
improvement in diagnostic techniques, fluid and electrolyte correction, much potent antimicrobial hence our
study focuses on early diagnosis of obstruction, skill full operative management, proper technique during
surgery and intensive postoperative treatment and carries grateful results.
Aim and Objectives :
1. To study the various causes of intestinalobstruction.
2. To study the symptomatology of intestinalobstruction.
3. To study the various Modalities of treatment(surgical) and also the role of imaging studies in determining
the etiology and intervention in intestinal obstruction.
Conclusion : Through our study we came to the conclusion that men are more commonly involved than
females . Plain X-ray abdomen and ultrasonography were important for diagnosing out of which Plain X-ray
erect abdomen was almost conclusive in all cases. Where diagnosis was inconclusive an ultrasonography
was carried out. Amongst the causes, Postoperative adhesions are the common cause to produce intestinal
obstruction. Intestinal obstruction with tuberculosis intestine are more likely to develop postoperative
complications, proper anti-tubercular management is necessary to prevent mortality and morbidity. Early
operations depending upon the etiology of obstruction are mandatory to avoid perforation, the development
of peritonitis and systemic sepsis associated with multisystem organ failure. Through our study, Adhesiolysis
followed by resection and anastomosis were the two procedures which were commonly performed. In
Postoperative period, few patients had wound infection followed by would dehiscence, chest infection,
septicemia and fecal fistula. Morbidity increased in old age patients and those whose presentation was late
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