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VOLUME 4 , ISSUE 4 ( October-December, 2018 ) > List of Articles

RESEARCH ARTICLE

Laparotomy for Acute Intestinal Obstruction in a Tertiary Care Center

Kodenge R Rao, Samir R Nayak, Dileep Sunkavalli, Reshma Palacharla, Kurra V Devi

Keywords : Adhesion, Laparotomy,Acute intestinal obstruction

Citation Information : Rao KR, Nayak SR, Sunkavalli D, Palacharla R, Devi KV. Laparotomy for Acute Intestinal Obstruction in a Tertiary Care Center. J Med Sci 2018; 4 (4):103-106.

DOI: 10.5005/jp-journals-10045-0097

License: CC BY-NC 4.0

Published Online: 00-12-2018

Copyright Statement:  Copyright © 2018; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Background: Acute intestinal obstruction is one of the most common causes of surgical admissions worldwide. Adhesions 1 appear to be the most common cause in the Western world as well as in parts of Asia and the Middle East. But in India, it has been observed that obstructed inguinal hernia seemed to be the most prevalent cause. Radiography accurately diagnoses intestinal obstruction in approximately 60% of cases. The etiological factors and diagnostic approach seems to vary in the different demographic study. In this study, an attempt has been made to elaborate on our experience in acute intestinal obstruction with its cause and management. Aim: To discuss the surgical management in regard to 40 cases of acute intestinal obstruction. Methods: A retrospective analysis of 40 cases that underwent exploratory laparotomy for an indication of acute intestinal obstruction in the period between June 2016 and May 2018. Results: Of the 40 cases that were included in the study has been observed that the median age of patients has been 51.4 years and 16 (40%) of cases were due to adhesions, 12 (30%) cases were due to malignant growths which comprised the major etiological causes. The mortality rate was 15%, and the complication rate was 25%. Accurate diagnosis on radiography could only be obtained in 4 (10%) cases. Conclusion: The analysis of patient data reveals that postoperative adhesions is a major etiological factor for acute intestinal obstruction in India similar to the western world and that CT abdomen must be opted as a means for accurate diagnosis prior to surgical approach.


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