A Prospective Clinical Study of Dynamic Intestinal obstruction in a tertiary care centre

Dr. G. KAMALIN VIJI

Volume : VI, Issue : V, May - 2016

A Prospective Clinical Study of Dynamic Intestinal obstruction in a tertiary care centre

Dr. G. Kamalin Viji

Abstract :

BACKGROUND: This study was done to determine various causes of intestinal obstruction, presentations, epidemiology, factors affecting morbidity and mortality, surgical procedure and its outcome. METHODS: Prospective study of 100 cases of acute intestinal obstruction in Department of General Surgery, Tirunelveli Medical College Hospital, Tirunelveli. Cases presented with acute intestinal obstruction and those underwent surgical treatment were studied with an aim to establish the cause, mode of presentation, radiological, haematological findings, operative findings, and outcome of intestinal obstruction. The diagnosis was mainly based on clinical, radiological and haematological parameters. RESULTS: Age predominance was from 40 to 70 years. Males were predominantly affected. Patients taking mixed diet with less fie had more predisposition. Abdominal pain, vomiting, abdominal distension and constipation were the common presentation of these patients. Common causes of intestinal obstruction were inguinal hernias, adhesive obstruction, tumours and volvulus, . Small bowel was the most commonly affected part in 74 patients followed by sigmoid volvulus, in 14 patients. Release and repair of hernia was done in 31 patients and resection anastomosis in 31 patients. Wound infection was observed in 36 patients, burst abdomen in 3 patients, anastomotic leak in 12 patients and mortality in 9 patients. CONCLUSION: Acute intestinal obstruction remains an important surgical emergency. Success in treatment depends largely upon early diagnosis, skillful management and treating the pathological effects of the obstruction.