Rajkumar, T (2020) Clinical study on Small Intestine Obstruction on Severity Indicators, Etiology, Surgical Outcome. Masters thesis, Stanley Medical College, Chennai.
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Abstract
INTRODUCTION SMALL INTESTINAL OBSTRUCTION is one of the common acute emergencies 12 to 16 % in surgical pratice,early recogition and prompt intervention can prevent irreversible ischemia and therby decrease the mortality and long term morbidy 80% of small intestinal obstruction are due to benign cause. Common cause: Adhesion( previous surgery,intra abdominal surgery) Strangulated hernia Tuberculosis Crohn”s disease Mesenteric ischemia Gall stones Bezoar Paralytic lleus AIMS AND OBJECTIVES -To study the incidence and various etiology of small intestinal obstruction -To study the various modes of presentation,importance of early diagnosis and management -To study The role of imaging studies in determining the site and etiology -To study the mortality rate and morbidity ratein acue small intestinal obstruction METHODS: 1 years prospective study conducted in Govt Stanley Medical College Chennai -1 Totally 60 patients were subjected. Each intestinal obstruction patient was evaluated with specific severity indicators, scored and then analysed. RESULTS: The commonest cause of intestinal obstruction in adults in this study series was adhesions in 38.33% cases. Other causes were mesenteric ischaemia, i.e. 4 (6.67%), Koch’s abdomen, i.e. 10(16.67%),Inguinal hernia 5(8.33%),Paralytic ileus 5(8.33%) . Resection anastomosis was most commonly performed procedure in 20 % cases, followed by adhesiolysis in 11.67% patients. 41.67% patients having a score less than 3 were managed Conservatively. CONCLUSION: The evaluation of patients emphasis not only to confirm the diagnosis but also to determine the need for and timing of surgery. Certain severity indicators and scoring systems can help to optimize this timing of surgery and prevent mortality.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711066 |
| Uncontrolled Keywords: | Adhesions, Intestine, Obstruction, Resection and anastomosis, Scores |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Feb 2021 02:00 |
| Last Modified: | 09 Feb 2021 02:00 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13953 |
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