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Reoperation for small intestinal obstruction.

P J Fabri1, A Rosemurgy

  • 1Department of Surgery, University of South Florida, College of Medicine, Tampa.

The Surgical Clinics of North America
|February 1, 1991
PubMed
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Intestinal adhesions frequently cause bowel obstruction, with complete obstruction often requiring surgery due to strangulation risks. Proper surgical technique is key to preventing and treating adhesions, minimizing complications like abscesses.

Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Abdominal Surgery

Background:

  • Intestinal adhesions are the primary cause of bowel obstruction.
  • Complete obstruction carries a high risk of strangulation if not surgically addressed.
  • Current prevention strategies for adhesions are limited.

Purpose of the Study:

  • To review the etiology and management of intestinal adhesions.
  • To discuss methods for preventing adhesion formation and recurrence.
  • To highlight the importance of surgical technique in managing adhesions and preventing complications.

Main Methods:

  • Review of existing literature on intestinal adhesions and obstruction.
  • Analysis of preventative strategies, including mechanical and chemical methods.

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  • Emphasis on surgical techniques for adhesion prevention and lysis.

    • Main Results:

    • Partial obstruction may be managed nonoperatively, but complete obstruction often necessitates surgery.
    • High-molecular-weight dextran and NSAIDs show potential for adhesion prevention.
    • Meticulous surgical technique, including sharp dissection and hemostasis, reduces complication rates.

    Conclusions:

    • Intestinal adhesions remain a significant surgical challenge, particularly complete obstructions.
    • Appropriate surgical technique is paramount in preventing adhesion formation and subsequent complications.
    • Sharp dissection and meticulous hemostasis during adhesiolysis can decrease postoperative morbidity.