TITLE:
Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU
AUTHORS:
Abdoulaye Diarra, Koniba Keita, Amadou Traoré, Assitan Koné, Issa Traore, Idrissa Tounkara, Abdoulaye Kante, Fadima K. Tall, Daouda Diallo, Moustaph Issa Magané, Madiassa Konate, Aboubacar Koné, Deborah Sanra Sanogo, Ismaël Konare, Alhassane Traoré
KEYWORDS:
Postoperative Occlusion, Hail, Bridle/Adherence, Mali
JOURNAL NAME:
Surgical Science,
Vol.9 No.9,
September
17,
2018
ABSTRACT: Objectives were to determine the frequency, describe the epidemiological and clinical aspects, therapeutic and analyze the postoperative course. Methodology: This was a retrospective study that covered 08 years (January 2009-December 2017). Inclusion criteria: all patients operated for obstruction of the small bowel by hail and/or flanging. Exclusion criteria: other types of occlusion and non-operated patients. Result: We recorded a total of 162 cases of hail obstruction by adhesions and/or flanges at 2.87%. The average age was 32.04, the sex ratio was 1.2. The average consultation time was 4 days. Abdominal pain associated with stopping of material and gas was present in all our patients. X-ray of the abdomen without preparation carried out in all the patients made it possible to objectify in 150 patients (92.6%) of the hydro-hail levels. Inoperative occlusion of hail on flange was present in 80 patients (49.4%). Occlusion of the small bowel on flange and adhesion was present in 69 patients. Adhesion obstruction of hail accounted for 6.8% (11 cases). The most commonly used surgical technique was flange resection in 91 patients (56.2%). The follow-up was simple in 151 patients (93.2%). Mortality was 1.2% of cases, i.e. 2 deaths. The average duration of hospitalization was 6 days. Conclusion: Occlusion of the small bowel by flanging and/or adherence is a surgical emergency whose prognosis depends on early management.