Abstract

Abdominal adhesions are bands of scar tissue (fibrous or fibrofatty), most often occurring as a complication of previous abdominal surgery. Post operative adhesions represents an unresolved and leading causes of intestinal obstruction. With the advent and development in the field of Laparoscopic surgery and enhanced rehabilitation after surgery have led to decrease in surgical morbidity. This study was conducted to evaluate patients with suspected adhesive intestinal obstruction and assess the role of imaging and outcome of different management approaches as well as the complications related to them. Methods: Following approval by the Institutional Ethics Committee, Rohilkhand Medical College and Hospital, Bareilly; 88 patients were selected for the study and patient characteristics, previous surgical history, intraoperative findings and post-operative complications were recorded Results: The post-surgical adhesions were more common (65%) in patients with history of single surgery in past. Majority of the patients (62.13%) underwent surgery for bowel pathology. (22.27%) patients were treated conservatively, (53.40%) patients underwent open adhesiolysis and (23.86%) of the patients were managed Laparoscopically. The average hospital stay ranged from (7-18 days). The post operative complications were more in Open adhesiolysis compared with the Laparoscopic approach. Conclusion: Although there are several retrospective series, and meta-analyses comparing open approach to laparoscopy, there are no prospective, randomized studies. This study concludes that though laparotomy is associated with increased chances of further adhesion formation and recurrent small bowel obstruction therefore conversion to open surgeries when required must be done and should not be considered as failure.

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