RECURRENT ADHESIVE INTESTINAL OBSTRUCTION: A NEW HOPE FOR ITS PREVENTION | ||
| The Egyptian Journal of Surgery | ||
| Volume 29, Issue 1, January 2010, Pages 29-34 PDF (785 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejsur.2010.367577 | ||
| Author | ||
| Wael Lotfy* | ||
| General Surgery Department Faculty of Medicine Zagazig University, Egypt | ||
| Abstract | ||
| Aim: To evaluate the effectiveness of Postoperative Peritoneal Lavage (PPL) method (new method) in prevention of recurrent Adhesive Small Bowel Obstruction (ASBO). Methods: A total of 40 patients were enrolled in this study. They were victims of ASBO. They were randomized into two groups. Group I (20 patients) were treated with adhesiolysis alone, and Group II (20 patients) were treated with adhesiolysis plus PPL. Patients were followed up for an average period of 25½ months to detect the incidence of recurrent ASBO. Results: There were six recurrences (30%) in Group I while in Group II only one patient (5%) developed a recurrent episode of ASBO, which responded to conservative measures and didn't need surgery. The rate of surgical re-operation in PPL treated patient was zero. Conclusion: PPL is a new hope for prevention of recurrent ASBO that achieved significant reduction in recurrence rate. | ||
| Keywords | ||
| Bowel obstruction; intra-abdominal adhesions; peritoneal lavage | ||
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