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KMID : 0376119790060020061
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Medical Journal of the Red Cross Hospital
1979 Volume.6 No. 2 p.61 ~ p.67
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Clinical Study of 144 Patients with Intestinal Obstruction due to Adhesion.
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Abstract
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144 patients underwent laparotomy for intestinal obstruction due to post operative adhesion. from 1972 to 1978 at our hospital.
A clinical analysis was done and the. results are as follow;
1) The most frequent age group was between 20 to 49 years in cases of 95 (66. 1%). The youngest age was 11 months and the oldest 79 of age.
2) Male predominated over female by the ratio of 2. 1 to 1.
3) Previous abdominal operations leading to adhesive ileus revealed appendectomy in 49(34.0%), gastric surgery in 26´(18.000), gynecological procedure in 16(11.0%) and operation for adhesive ileus in 15(10.4010).
4) The cardinal symptoms and signs were abdominal pain in 71.5%, abdominal distention in 61.5%, abdominal tenderness in 54.5% and abdominal rigidity in 50%.
5) Classic findings for gangrenous bowel (25 patients) were leukocytosis (WBC>10, 000 /mm3) in 17, fever(>38°C) in 18, tachycardia (pulse>90/min) and localized tenderness in 17 patients. No patient in the absence of all the classic findings had gangrenous bowel.
6) Among 144 patients, 8901.8%) were treated by bandlysis or enterolysis, 36(25.0°0), by the primary intestinal resection. and 19 (13.2%) by enterostomy or bypass operation.
7) The incidence of post operative complication was 42 cases (29. 1%), but some patient had multiple complications. The most common complication was wound infection in 23 (54.6%).
8) Overall mortality rate was 3. 1 % (6 out of 144).
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