A study of forty eight patients with ilecoceacal mass presenting as intestinal obstruction requires surgical intervention and their outcome

Abstract

<jats:p>Background: Intestinal obstruction is defined as obstruction of the passage of the intestine for its contents. Successful conservative treatment may leave adhesions that could cause recurrence; on the other hand, surgery may be the source of new adhesions like any other abdominal surgery. Hence, the present study was undertaken for assessing the 48 patients with ilecoceacal mass presenting as intestinal obstruction requires surgical intervention and their outcome.Methods: Of a total of 48 patients with ilecoceacal masses who presented with intestinal obstruction and underwent surgical intervention for the same. Surgical management outcome was classified as “favorable” or “unfavorable” outcome according to the retrospective secondary data extracted from their medical records. Unfavorable outcome was considered if the patient died or has one or more postoperative complications. Favorable outcome was considered if the patient was discharged alive and does not have any history of postoperative complications.Results: Abdominal pain, abdominal distension, vomiting and failure to pass faeces were the prominent presenting symptoms among intestinal obstruction patients. Favourable outcome was seen in 76 percent of the patients while unfavourable outcome was seen in 24 percent of the patients. Mortality occurred in 6 patients. Prolonged ileus was found to be present in 1 patient. Failure to wean from ventilator for more than 48 hours was seen in 2 patients. Conclusions: Surgical management had high efficacy of more than 75 percent in managing patients with intestinal obstructions. With precise technique and adequate care, complication rate can be reduced.</jats:p>

Magnitude and determinants of treatment outcome among surgically treated patients with intestinal obstruction at Public Hospitals of Wolayita Zone, Southern Ethiopia: a cross sectional study, 2021

“…It is the challenging problem which is determined by many patients ‘related and clinical related factors like surgical site infection, wound dehiscence, leakage, pneumonia and sepsis. Many of this unfavorable outcome could be minimized if the factors related with surgical treatment outcome of intestinal obstruction is predetermined and all the necessary action is taken to prevent the causes associated with it before and after the procedure [ 13 , 14 ].…”

Magnitude and predictors of unfavorable management outcome in surgically treated patients with intestinal obstruction in Ethiopia: a systematic review and meta-analysis

“…It is a difficult problem determined by numerous patient-related and clinical-related factors resulting in complications such as surgical site infection, wound dehiscence, leakage, pneumonia, and sepsis. Many of these unfavorable management outcomes could be avoided if the factors associated with the surgical treatment outcome of intestinal obstruction are predetermined and all necessary precautions are taken before and after the procedure [ 21 , 22 ]. The outcome of disease management may be a good indicator of how well a country’s surgical services are performing.…”

Magnitude and Determinants of Treatment Outcome Among Surgically Treated Patients with Intestinal Obstruction at Public Hospitals of Wolayita Zone, Southern Ethiopia: Across Sectional Study

“…Management e of intestinal obstruction was improved since the development of more sophisticated diagnostic tests and imaging machine, but still the condition remains major public health problem especially in developing countries (11,13,14). It is the challenging problem which is determined by many patients 'related and clinical related factors like surgical site infection, wound dehiscence, leakage, pneumonia and sepsis.…”