Intestinal Obstruction Secondary to Postoperative Peritoneal Adhesions: the Tolerability of the Conservative Treatment
Simona Bobic, Department of General Surgery, "Sfantul Pantelimon" Emergency Hospital, Bucharest, Romania, Dragos Davitoiu, Adrian Dorin Bordei, Florian Popa, Department of General Surgery, "Sfantul Pantelimon" Emergency Hospital, Bucharest, Romania, Department of General Surgery, "Sfantul Pantelimon" Emergency Hospital, Bucharest, Romania, Department of General Surgery, "Carol Davila" Clinical Hospital, Bucharest, Romania
2018
Modern Medicine
The present study aims to determine the mean duration of the conservative management that can be tolerated by the patients with intestinal obstruction secondary to the postoperative peritoneal adhesions, in order to postpone the surgical intervention. Material and method: The data of the patients with intestinal obstruction secondary to postoperative peritoneal adhesions were retrospectively collected and analysed. The number of readmissions, the type of the therapeutic management, the duration
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... of the conservative treatment, the number of surgical reinterventions and the intraoperative aspect represented the studied variables. Results: 543 patients with intestinal obstruction secondary to postoperative peritoneal adhesions, admitted in the Surgical Department of "Sfântul Pantelimon" Emergency Hospital from Bucharest, Romania, between January 2014 and July 2018, were enrolled in the study. 233 patients underwent conservative treatment, 310 patients being surgically treated. The mean interval necessary for the monitoring of the patients non-operatively treated was 7 days, within a range of 2 to 14 days. For the surgically treated cases, the mean monitoring interval was 5 days, within a range of 1 to 14 days. Among the patients that underwent surgical treatment, there were 276 cases of adhesiolysis, 31 cases of intestinal resection with anastomosis and 3 cases of intestinal resection with terminal ileo-or colostomy. Conclusion: Under strict monitoring, a signifi cant number of cases of intestinal obstruction secondary to postoperative peritoneal adhesions can, successfully, be treated using conservative management, within 7-10 days. Abstract Introducere: Obiectivul prezentului studiu este de a evalua durata medie a managementului conservator, ce poate fi suportată de către pacienţii cu ocluzie intestinală secundară aderenţelor peritoneale, în scopul temporizării intervenţiei chirurgicale cu viză curativă. Material și metodă: Datele pacienţilor cu ocluzie intestinală secundară aderenţelor peritoneale postoperatorii au fost colectate și evaluate retrospectiv. Variabilele urmărite au fost reprezentate de: numărul reinternărilor, tipul de management terapeutic la fi ecare reinternare, durata tratamentului conservator, numărul de reintervenţii chirurgicale și aspectul intraoperator. Rezultate: 543 de pacienţi cu ocluzie intestinală secundară aderenţelor peritoneale postoperatorii, internaţi în perioada ianuarie 2014 -iulie 2018, au fost incluși în prezentul studiu. 233 de pacienţi au benefi ciat doar de tratament conservator, 310 pacienţi fi ind supuși intervenţiei chirurgicale. Perioada de timp necesară monitorizării pacienţilor trataţi conservator a fost cuprinsă în intervalul
doi:10.31689/rmm.2018.25.4.193
fatcat:xghhawnvbvhw3bitacb3xfybcq
