KẾT QUẢ PHẪU THUẬT TẮC RUỘT DO BÃ THỨC ĂN TẠI BỆNH VIỆN ĐA KHOA TỈNH THÁI BÌNH

Abstract

Objective: Evaluate the results of surgery for intestinal obstruction caused by phytobeazoar at Thai Binh provincial General Hospital. Methods: Cross-sectional descriptive study, performed on 52 patients with intestinal obstruction caused by phytobeazoar operated on at Thai Binh Provincial General Hospital from January to June 2023. Variables recorded: Age, time from hospital admission to surgery; Surgical methods; Methods of handling phytobeazoar; Surgery time; Postoperative monitoring parameters; Postoperative complications and treatment methods; Surgical results according to Clavien - Dindo. Results: The average time from hospital admission to surgery was 44.8 hours, the earliest was 2.5 hours; 84.6% of patients had surgery within 72 hours. 78.9% had open surgery; 71.2% were prescribed open surgery from the beginning; 21.1% had surgery completely laparoscopically or combined with a small laparotomy. 34.6% pushed phytobeazoar into the colon without opening the intestines. 53.8% had their intestines opened to remove phytobeazoar. 11.6% combined with gastric opening to remove phytobeazoar. Average Surgery Time 68 minutes. The average postoperative feeding time was 4.2 days. The average postoperative hospital stay was 9.8 days. The overall complication rate after surgery was 21.1% (9.6% mortality). 90.4% of stable patients were discharged from the hospital. Conclusion: Surgical treatment of intestinal obstruction caused by phytobeazoar at Thai Binh Provincial General Hospital has positive results. The rate of stable discharge from the hospital is 90.4%. The mortality rate is 9.6%.