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Associated Factors for Adhesions Post Surgery: A Case Control Study
Hsairi Mariem1,2, Siala Rakia1,2, Mseddi Mohamed Ali1,2
1Department of General Surgery "B", La Rabta Hospital, Tunis, Tunisia.
ANZ Journal of Surgery
|April 2, 2026
Summary
Male sex, diabetes, and Pfannenstiel incision are key risk factors for adhesive small bowel obstruction (ASBO). Identifying these predictors can improve patient management and surgical outcomes for ASBO.
Area of Science:
- General Surgery
- Gastroenterology
Background:
- Adhesive small bowel obstruction (ASBO) poses significant surgical management challenges.
- Minimizing iatrogenic complications during adhesiolysis is crucial.
- Identifying patients at higher risk for ASBO can improve diagnosis and prophylaxis.
Purpose of the Study:
- To identify and report factors associated with adhesive small bowel obstruction (ASBO).
Main Methods:
- A case-control study involving 200 patients operated on for ASBO between 2004 and 2020.
- Logistic regression analysis was employed to determine factors associated with ASBO occurrence.
Main Results:
- Male sex, diabetes, and Pfannenstiel incision were identified as independent factors associated with ASBO.
- Adjusted Odds Ratios (OR) indicated significant associations: male sex (OR=7.489), diabetes (OR=15.465), and Pfannenstiel incision (OR=5.704).
- Postoperative complications occurred in 31.4% of patients, with two deaths.
Conclusions:
- Male sex, diabetes, and Pfannenstiel incision are significant risk factors for ASBO.
- Recognition of these factors can enhance postoperative management and patient outcomes.
- Further prospective multicenter studies are recommended for validation.
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