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INITIAL RESULTS OF LAPAROSCOPIC SURGERY TO TREATMENT INTESTINAL OBSTRUCTION AFTER SURGERY
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Abstract
Background: The study aimed to evaluate the efficacy of surgical treatment for postoperative bowel obstruction at Hospital E. Materials and Methods: Retrospective descriptive study, patients undergoing surgery to treated postoperative bowel obstruction from 2019 to 2023. Results: There were 50 patients diagnosed with post-operative bowel obstruction and treated with surgery, the mean age was 62 ± 20 (14-90) years old, of which 44% were male and 56% were female. The average number of abdominal surgeries in the history of patients was 1.30 ± 0.58 times, 78% of patients had one abdominal operation and obstetrics and gynecology was the largest number of surgeries in history with 32%. The common old incision in these patients is the midline incision. The cause of intestinal obstruction is mainly ligaments and adhesions, accounting for 67%. Mainly patients undergoing open surgery accounted for 54%, 46% laparoscopic surgery of which 30% had complete laparoscopic surgery, 16% of patients required assisted open surgical intervention. The overall mean operating time was 103.2 ± 51.4 (30 to 285) minutes, of which the operating time of the fully open surgery group was 116.9 ± 50.8, of the laparoscopic surgery group was 87.2 ± 48.4. There are 8% of cases of accidental tearing of the small intestinal muscle wall during surgery, 2% of accidents have intestinal perforation. There was one case of complications of postoperative bleeding from mesenteric blood vessels requiring 2nd surgery to handle complications. The average postoperative median time is 3.2 ± 1.2 days, the average hospital stay is 11.4 ± 4.9 days. 78% of postoperative results were good, only 2% had bad results due to postoperative complications that required re-operation to treat the lesion. Conclusions: The initial results of surgical treatment of pos-toperative intestinal obstruction are mostly good. In which, laparoscopic surgery has many advantages compared to open surgery such as less pain after surgery, early recovery, and short hospital stay.
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Keywords
Postoperative bowel obstruction surgery, laparoscopic intestinal obstruction, postoperative intestinal obstruction
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