Volume : VI, Issue : IV, April - 2017

A PROSPECTIVE STUDY OF CASE SERIES OF INTESTINAL OBSTRUCTION

Dr. Tamilmuthu Marimuthu, Dr. Selvamuthukumaran Gunasekaran, Dr. Dhanapal Pattanam Velappan

Abstract :

 BACKGROUND:  History of intestinal obstruction dates back to third or fourth centuries. Hippocrates was the one who recognized, described and treated intestinal obstruction. During this period Praxagoras was the first surgeon made an enterocutaneous fistula to relieve intestinal obstruction. However until late 1800’s non–operative managements like hernia reduction, ingestion of laxatives and heavy metals was practiced in most parts of the world. [1] In seventeenth century, Heister did a resection of strangulated bowel with diversion. He was followed by Pillare who did caecostomy for rectal  malignancy. In 19th century Henri Hartmann described Hartmann’s procedure.Recent advances made in the field of minimally invasive surgery have shown that laparoscopic approach for acute intestinal obstruction was found to be effective in selected group of patients. 

MATERIALS AND METHODS:

This study was conducted at Government DHARMAPURI Medical College and Hospital for a period of two years from 2013 to 2015. It is an analytical study that included 100 patients who were diagnosed to have Acute Intestinal Obstruction based on clinical, biochemical and radiological features

RESULTS: The  common site of obstruction is small bowel(83%),  common age group is between 30–40 yrs, commonest sex is males(77%), commonest etiology being–obstructed/strangulated hernia–33%, mode of preaentation is abdominal pain (94%) and the outcome  was better and mortality was only in 6% of patients

CONCLUSION: The initial management of patients with acute intestinal obstruction should focus on aggressive fluid resuscitation, decompression of the obstructed bowel, and on prevention of aspiration. Surgery remains to be the cornerstone of treatment.Earlier diagnosis and timely intervention are associated with excellent prognosis. Delayed diagnosis leading to strangulation and increased age are associated with poor outcomes.

Keywords :

Article: Download PDF   DOI : 10.36106/ijsr  

Cite This Article:

DR.TAMILMUTHU MARIMUTHU, DR.SELVAMUTHUKUMARAN GUNASEKARAN, DR.DHANAPAL PATTANAM VELAPPAN, A PROSPECTIVE STUDY OF CASE SERIES OF INTESTINAL OBSTRUCTION, INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH : VOLUME-6 | ISSUE-4 | APRIL‾2017


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