SMALL BOWEL OBSTRUCTION WITH INTRA-OPERATIVE SURPRISE

Dr. Sujith M.*, Dr. Ambikavathy M. and Dr. Akshay M. Bhumkar

ABSTRACT

Intestinal obstruction is one of the most common surgical emergencies encountered all over the world. It is defined as obstruction in forward propulsion of the contents of the intestine either due to dynamic, adynamic or pseudo-obstruction. It is predisposed by varying underlying anomalies and diseases, which are difficult to define preoperatively. Through intestinal obstruction can be diagnosed easily, the underlying cause except postoperative adhesions and external hernias are difficult to be diagnosed preoperatively. Early diagnosis of obstruction, adequate preoperative resuscitation, skillful operative Management, proper technique during surgery and intensive postoperative treatment carries a grateful result. The diagnosis and management of the patient with intestinal obstruction is one of the most challenging emergencies that a general surgeon can encounter in his practice. Although the mortality due to acute intestinal obstruction is decreasing with better understanding of pathophysiology, improvement in diagnostic techniques, appropriate fluid and electrolyte resuscitation, much potent anti-microbials and surgical management, but still mortality ranges from 3% for simple obstruction to as much as 30% when there is vascular compromise or perforation of the obstructed bowel. This is further influenced by the clinical setting and related co-morbidities.[1] Most of the mortalities occurs in elderly individuals who seek treatment late and who are have associating pre-existing diseases like, diabetes mellitus, COPD.

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