Acute Adhesive Bowel Obstruction


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Abstract

Among the causes of acute intestinal obstruction the colon obstruction takes 29-40%. Non-neoplastic colonic obstruction develops in the presence of predisposing factors, due to variations of the anatomical structure of the colon. They are - increased mobility, due to the extended mesentery, which creates conditions, predisposing to the development of bloat and strangulated intestinal obstruction. We analyzed clinical cases - patients with acute colon adhesive obstruction, operated in an emergency or delayed order. These clinical examples show that involvement of colon in adhesive process occurs over a long period of time and flows through the obstructive type, which greatly complicates the diagnosis. To prevent the development of adhesions in the abdominal cavity, the authors recommend to perform preventive measures. These methods are strongle recommended to apply in patients with peritonitis, and after surgery, accompanied by extensive damage to the leaves of the peritoneum. Selecting a method of prevention is determined by the urgent character of surgery, the duration and degree of traumatization of the peritoneum. Preventative measures can improve the outcomes of surgical treatment and reduce the incidence of early postoperative complications, reduce the cost of treating patients with adhesive disease and prevent its development.

About the authors

I.I. Mechnikov St. Petersburg State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015,
Russian Federation

Author for correspondence.
Email: author@vestnik-surgery.com
MD, Prof. of faculty surgery department, I.I. Mechnikov St. Petersburg State Medical University.

I.I. Mechnikov St. Petersburg State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: author@vestnik-surgery.com
MD, Prof., head of the faculty surgery department, I.I. Mechnikov St. Petersburg State Medical University.

I.I. Mechnikov St. Petersburg State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: author@vestnik-surgery.com
PhD, associate prof. of faculty surgery department, I.I. Mechnikov St. Petersburg State Medical University.

I.I. Mechnikov St. Petersburg State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: kotkovdr@mail.ru
graduate student of faculty surgery department, I.I. Mechnikov St. Petersburg State Medical University.

I.I. Mechnikov St. Petersburg State Medical University, 41 Kirochnaia Str., Saint-Petersburg, 191015, Russian Federation

Email: author@vestnik-surgery.com
5-year student of the medical faculty I.I. Mechnikov St. Petersburg State Medical University

References

  1. Korotchenkov A.M., Pyrlyk A.V. Diagnosis and treatment of patients with acute obstructive colonic obstruction. Meditsina v XXI veke: tendentsii i perspektivy [Medicine in the XXI century: trends and prospects. Proc. of the III All-Russian Scientific Internet Conference with international participation]. 2014; 105-107. - (in Russ.).
  2. Malkov I.S., Toltoev M.M., Khalilov Kh.M. et al. Lechebno-diagnosticheskij algoritm u bol'nyh s obturacionnoj tolstokishechnoj neprohodimost'yu. [Treatment and diagnostic algorithm in patients with obstructive colonic obstruction.] Meditsinskii al'manakh, 2011; 5: 82-86. - (in Russ.).
  3. Men'kov A.V., Gavrilov S.V. Ostraya kishechnaya neprohodimost' neopuholevogo geneza: sovremennoe sostoyanie. [Acute intestinal obstruction nonneoplastic genesis: state of the art.] Sovremennye tekhnologii v meditsine, 2013; 5: 3: 109-115. - (in Russ.).
  4. Mamatov N.N., Sopuev A.A., Abdiev A.Sh. et al. Evaluation of intraoperative ointment to prevent disease of the abdominal cavity. Sovremennye problemy nauki i obrazovaniia, 2013; 5: 340. - (in Russ.).
  5. Petrov V.P., Eriukhin I.A. Kishechnaia neprokhodimost' [Ileus]. Moscow: Meditsina, 1989; 288. - (in Russ.).
  6. Stal'makhovich V.N., Diukov A.A., Bogonosov A.Iu. Volvulus of the sigmoid colon as the most rare form of strangulation ileus. Meditsinskii vestnik Severnogo Kavkaza, 2009; 13: 1: 48-49. - (in Russ.).
  7. Snegirev I.I., Mironov V.I., Bashlykov D.V. Bashlykov Acute intestinal obstruction nonneoplastic origin: diagnosis and treatment. Sibirskii meditsinskii zhurnal (Irkutsk), 2010; 99: 8: 163-165. - (in Russ.).
  8. Filenko B.P., Zemlianoi V.P., Borsak I.I., Ivanov A.S. Spaechnaia bolezn': profilaktika i lechenie [Adhesive disease: prevention and treatment]. Saint-Petersburg, 2013; 139. - (in Russ.).
  9. Vanja Sikirica, Bela Bapat, Sean D Candrilli, Keith L Davis, Malcolm Wilson, Alan Johns. The inpatient burden of abdominal and gynecological adhesiolysis in the US. Surgery, 2011; 11: 13.

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