Abstract
Background: A common surgical emergency, intestinal blockage has a high death and morbidity rate. Intestinal blockage accounts for about 15% of all emergency room visits for acute abdominal discomfort. Acute intestinal obstruction can take several forms, ranging from a seemingly normal look with just minor stomach pain and distension to a situation of hypovolemic or septic shock (or both) requiring an emergency treatment.
 Aim: The goal of this study was to see how our tertiary hospital managed intestinal obstruction operations.
 Material and Methods: Patients in the current study ranged in age from 21 to 80 and had a surgically treated acute intestinal blockage. Patients with severe signs and symptoms of acute blockage were treated with an appropriate surgical approach after initial resuscitation. All of the data was entered into a spreadsheet and analysed with descriptive statistics.
 Results: During the study period, 288 patients received surgery for acute intestinal blockage. The most prevalent age group (26 percent) was 51 to 60 years old, followed by 41 to 50 years old (21 percent ). Male patients were 2.8 times more likely than female patients to be afflicted. Previous abdominal surgery (56 percent), diabetes (31%), smoking (25%), hypertension (24%), and bronchial asthma/ COPD (15%) were all discovered to be common co-morbidities in this study. The most common causes of intestinal obstruction in this study were postoperative adhesions (47 percent), malignancy (15 percent), obstructed hernia (11 percent), and Koch's abdomen (8 percent ). The most prevalent surgical procedures in this study were adhesion removal (47 percent), resection and anastomosis (22 percent), diversion colostomy (13 percent), and hernioplasty (13 percent) (11 percent ). Fever (15%) and wound infection (11%) were the most prevalent post-operative problems, respectively. The rate of post-operative death was 13%. There are nine patients in all. The majority of deaths are caused by complications such as septicemia, peritonitis, and lung infection.
 Conclusion: Postoperative adhesions are a common cause of intestinal blockage. Early surgical techniques, when combined with clinical diagnosis and radiological data, may improve the outcome of acute intestinal obstruction.
 Keywords: surgical management, acute intestinal obstruction, adhesions, adhesiolysis.
Highlights
A common surgical emergency, intestinal blockage has a high death and morbidity rate
Postoperative adhesions are a common cause of intestinal blockage
Adhesions, gallstone ileus, hernias, worm obstruction owing to Ascaris lumbricoides, and volvulus are common causes of intestinal blockage[6,7,8]
Summary
A common surgical emergency, intestinal blockage has a high death and morbidity rate. Adhesions (postoperative or post-inflammatory), gallstone ileus (mechanical bowel obstruction), hernias, worm obstruction owing to Ascaris lumbricoides, and volvulus are common causes of intestinal blockage (an axial twist of the gastrointestinal tract around its mesentery)[6,7,8]. Expert operative management, appropriate procedure during surgery, and rigorous postoperative care are all crucial to avoiding morbidity and mortality[18,19]. Material and Methods: Patients in the current study ranged in age from 21 to 80 and had a surgically treated acute intestinal blockage. Surgical techniques, when combined with clinical diagnosis and radiological data, may improve the outcome of acute intestinal obstruction.
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