Abstract
A retrospective study was carried out of 456 patients with small bowel obstruction (SBO). The operative findings of all patients who presented with SBO between 1977 and 1982 were compared and contrasted with those who presented during equivalent periods in the previous three decades. Obstructed hernias still account for the highest percentage of cases. Surprisingly, adhesions as a causative factor are not significantly more common than they were three decades ago, despite the enormous increase in the frequency with which abdominal surgery is now being carried out. The postoperative mortality rate for the period 1977-82 was 14%.
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Selected References
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- Badoe E. A. Pattern of acute intestinal obstruction in Accra. West Afr Med J Niger Pract. 1968 Dec;17(6):194–195. [PubMed] [Google Scholar]
- Ellis H. Mechanical intestinal obstruction. Br Med J (Clin Res Ed) 1981 Nov 7;283(6301):1203–1204. doi: 10.1136/bmj.283.6301.1203. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ellis H. The cause and prevention of postoperative intraperitoneal adhesions. Surg Gynecol Obstet. 1971 Sep;133(3):497–511. [PubMed] [Google Scholar]
- Epsteen C. M. Burns: the immediacy of care. Int Surg. 1978 Jul-Aug;63(5):59–60. [PubMed] [Google Scholar]
- Miller C. J. A STUDY OF THREE HUNDRED FORTY-THREE SURGICAL CASES OF INTESTINAL OBSTRUCTION. Ann Surg. 1929 Jan;89(1):91–107. doi: 10.1097/00000658-192901000-00011. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Playforth R. H., Holloway J. B., Griffen W. O., Jr Mechanical small bowel obstruction: a plea for earlier surgical intervention. Ann Surg. 1970 May;171(5):783–788. doi: 10.1097/00000658-197005000-00018. [DOI] [PMC free article] [PubMed] [Google Scholar]
- SILEN W., HEIN M. F., GOLDMAN L. Strangulation obstruction of the small intestine. Arch Surg. 1962 Jul;85:121–129. doi: 10.1001/archsurg.1962.01310010125017. [DOI] [PubMed] [Google Scholar]
- Shatila A. H., Chamberlain B. E., Webb W. R. Current status of diagnosis and management of strangulation obstruction of the small bowel. Am J Surg. 1976 Sep;132(3):299–303. doi: 10.1016/0002-9610(76)90379-2. [DOI] [PubMed] [Google Scholar]
- Snyder E. N., Jr, McCranie D. Closed loop obstruction of the small bowel. Am J Surg. 1966 Mar;111(3):398–402. doi: 10.1016/s0002-9610(66)80018-1. [DOI] [PubMed] [Google Scholar]
