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[Postoperative adhesive intestinal obstruction in children]
Insights
Adhesive intestinal obstruction (AIO) can be prevented by careful surgical sanitation and avoiding abdominal antibiotics. Intensive therapy and prolonged peridural analgesia are key to preventing postoperative AIO.
Area of Science:
- Gastroenterology
- Surgical Pathology
- Clinical Medicine
Context:
- Adhesive intestinal obstruction (AIO) is a significant postoperative complication.
- Understanding the pathogenesis of AIO is crucial for effective management.
- This study analyzes 110 cases to identify risk factors and preventive strategies.
Purpose:
- To analyze the pathogenesis, diagnosis, treatment, and prevention of adhesive intestinal obstruction (AIO).
- To identify key factors contributing to postoperative AIO.
- To recommend strategies for preventing recurrent AIO.
Summary:
- Postoperative AIO is often caused by progressing peritonitis, underestimation of operative findings, and inadequate intensive therapy.
- Preventive measures include meticulous abdominal cavity sanitation, avoiding intra-abdominal antibiotic injections, and combining prolonged peridural analgesia with intensive therapy.
- Recurrence of AIO was observed in 8.1% of patients.
Impact:
- Provides evidence-based recommendations for preventing postoperative adhesive intestinal obstruction.
- Highlights the importance of surgical technique and perioperative care in reducing AIO incidence.
- Informs clinical practice and future research on managing AIO.
Abstract:
An analysis of 110 cases is presented. Pathogenesis, diagnosis, policy of treatment and prevention of adhesive intestinal obstruction (AIO) are considered. Progressing peritonitis, underestimation of the operative findings and insufficient intensive therapy are thought to be causes of postoperative AIO. Careful sanitation of the abdominal cavity during operation, refusal of an injection of antibiotics into the abdominal cavity, combination of prolonged peridural analgesia with intensive therapy are recommended to prevent postoperative AIO. Recurrent AIO were noted in 8,1% of the operated patients.