Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
Acute intestinal obstruction is a common surgical emergency and occurs in all age groups. 12% to 16% of acute abdominal emergencies may be contributed to intestinal obstruction. With its multiple etiology, intestinal obstruction of either the small or large bowel continues to be a major cause of morbidity and mortality. Early diagnosis of obstruction, skill full operative management, proper technique during surgery and intensive postoperative treatment carries a grateful result. Evaluation and management of bowel obstruction in adults at tertiary health care center Present study was carried out in the Dept. of Surgery, S.P. Medical College and P.B.M Hospital, Bikaner. This is a prospective descriptive study and was carried out between December 2020 to November 2021. During the study period, 100 consecutive adult patients (Patients with 18 years and above 18 years of age) admitted with clinical and radiological evidence of acute dynamic intestinal obstruction, undergoing surgical intervention, regardless of gender were included. After obtaining permission from institution research board the present study was conducted data was collected from under study population through a pretested and semi‐structured schedule. In our present prospective study most common age group of patients presented with intestinal obstruction was 51‐60 years consisting of 29% patients. Mean age of our study population is 50.3 years. Out of 100 patients, 64 were males and 36 were females. Male to female ratio is 1.77:1. Out of total 100 patients 78 patients presented with small bowel obstruction and 22 patients presented with large bowel obstruction. External hernia (34%) is the commonest cause of Intestinal obstruction. Average hospital stay of patients in our study is 9.3 days. Wound infection, septicemia and wound dehiscence were most common complication. The overall survival rate and mortality rate in our study is 88% and 12%, respectively. Early diagnosis of obstruction, careful selection of cases for surgery, skillful operative management, proper technique during surgery and intensive post‐ operative treatment yields grateful results. Poor socioeconomic status, malnutrition, old age, delayed presentation of patients leading to delayed diagnosis and treatment, associated systemic co‐morbid conditions adversely affects the final surgical outcome of the patients. Wound infection and wound dehiscence were the commonest postoperative complication noted in our study.
How to cite this article:
Neetu Singh, Sonali Alla and Gaurav Sharma. Evaluation and Management of Bowel Obstruction in Adults at Tertiary Health Care Center.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.8.268.273
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.8.268.273