Mechanical Small Bowel Obstruction in AL-Samawa Teaching Hospital (Causes and Management)
Abstract
Objective: To assess the line of management in the mechanical small bowel obstruction, this a prospective study conducted at AL-Samawa Teaching Hospital over a period of eighteen month (first Of July2018- 30* of December 2019) involving 80 cases of mechanical small bowel obstruction.
Aim of the study: The objective of this study is to evaluate the etiology of intestinal obstruction.
Patients and methods: An 80 patient admitted to the surgical ward were included. The patients were divided into the following groups according to our management: -
Group A managed by early surgery (36 patients).
- Group B managed by conservative treatment (44 patients).
Further division of group B into: -
- BI-successful conservative treatment in 28 patients.
- BII- in 16 patients, when delayed surgery was needed.
Results: The mean period for a successful conservative treatment was the initial 31.3 hours after admission. Period of hospitalization was shorter in the conservative group in comparison to the operative group.
The morbidity rate was obviously higher in the operative group especially when the operations involved opening of bowel lumen.
The mortality rate was increased with the age, patient's medical condition and the state of the bowel involved by the obstruction, level of obstruction time of presentation.
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