Study of adhesive intestinal obstruction and its management in Coimbatore Medical College Hospital

Murugadasan, P (2013) Study of adhesive intestinal obstruction and its management in Coimbatore Medical College Hospital. Masters thesis, Coimbatore Medical College, Coimbatore.

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Abstract

INTRODUCTION: Intestinal obstruction accounts for 20% of all surgical emergencies around the world.Adhesions becoming the leading cause of intestinal obstruction.Adhesions accounts for 1% of all surgical admissions and 3% of all laparotomies.Though the mechanism of adhesion formation is well known, there is no successful pharmacological means of adhesion prevention. STUDY PERIOD: September 2011 to November 2012. Study type is observational study. AIMS OF THE STUDY: To study the clinical presentatios , causes and the treatment modalities available in our hospital. METHODOLOGY AND RESULTS: Out of 45 cases studied, males are most commonly affected than females with the male to female ratio of 1.5:1. Post surgical adhesive intestinal obstructios are most common than post inflammatory adhesive intestinal obstruction. Most of the patients had undergone emergency surgery than elective surgery. Out of 45 cases 74.8% of the patients had viable bowel and 24.2% of the patients had gangrenous bowel at the time of surgery. Omentum was found to be the most common organ involved and caesarean section was the most common cause in adhesive intestinal obstruction. Two were died in the post operative period due to the presence of co-morbid medical problems. CONCLUTION: Intestinal obstruction is a real emergency and adhesions becoming the leading cause of intestinal obstruction. Post surgical adhesive intestinal obstructions are most common than post inflammatory adhesive intestinal obstruction. Wound infection is the most common complication. Mortality depends upon the co-morbid medical illness.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Intestinal obstruction ; adhesions ; post inflammatory adhesions.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 08 Jun 2018 18:03
Last Modified: 08 Jun 2018 18:03
URI: http://repository-tnmgrmu.ac.in/id/eprint/8342

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