Abstract

ABSTRACT :
BACKGROUND :
Post-operative adhesions form a main lifelong surgical issue, Adhesive intestinal obstruction remains the main complications of adhesions.multiple Risk factors play an important role in the initiation of the disease and its Management.
OBJECTIVE:
To identify the risk factors that increases the incidence of Adhesive intestinal obstruction and the complication of surgical intervention.
PATIENTS AND METHODS :
One hundred and eight patients with adhesive Intestinal obstruction (out of two hundreds and ten patients with acute intestinal Obstruction) were admitted to the surgical wards of Al-Yarmouk Teaching Hospital, studied prospectively for the period between the 1st of January 2013 and the 30th of April 2014 . Data obtained regarding different parameters like Age ,sex, number and types of previous operations,management of those patient Whether conservative or operative.
RESULTS:
Adhesive intestinal obstructions are (51.43%) of the total cases with Acute intestinal obstruction. The highest incidence was among age group between 30-39Year, (32.4%). Explorative laparotomy are the main risk factors for postoperative adhesions with an incidence of 29.6%. The recurrence rate after surgery For adhesive intestinal obstruction is 13.8%.
CONCLUSION:
Since the recurrence rate after surgical Intervention in adhesive intestinal obstruction is relatively low, the role for conservative measures may be limited to a short period of time.