STUDY ON “SURGICAL MANAGEMENT IN DYNAMIC SMALL BOWEL OBSTRUCTION IN ADULT”

Abstract

Objectives: This study undergoes cases of dynamic small bowel obstruction in the adult population, requiring surgical intervention based on cause, anatomical and pathological nature, age-related factors, mode of presentation, investigation modalities, surgical procedure done, outcome after surgery, and complications. Methods: The study was conducted on 100 small bowel obstructions from 2020 to 2022. 50 patients in each group requiring surgical intervention based on cause, anatomical, and pathological nature, age-related factors, mode of presentation, investigation modalities, surgical procedure done, and outcome after surgery and complications were analyzed. Results: In the present study, the most common cause was adhesions and bands followed by hernia. In this study, 56% of the cases belonged to 31–50- year age group; there are 25 males and 25 females. On abdominal examination, diffuse tenderness was present in all 50 cases, followed by (muscle hold) guarding in 35, rigidity in eight, with mass abdomen including seven cases. Conclusion: Intestinal obstruction is an important surgical emergency, demand vigorous correction of fluid, and electrolyte. Adhesions and bands are the common cause to produce intestinal obstruction. Patients with intestinal obstruction due to adhesions and bands are more likely to develop post-operative complications. Early operation is mandatory to avoid the development of peritonitis and systemic sepsis associated with multi-system organ failure.