Small-Bowel Problems Publish-Surgery, Risks Examined

A study in the April issue of Archives of Surgery, demonstrates that in comparison with laparoscopic surgery, open surgery seems to be linked to a higher risk of small-bowel obstruction (SBO).

The scientists condition within their study background that SBO is a very common reason behind emergency admission. Certainly one of SBO’s major reasons are intraperitoneal or abdominal adhesions, which could develop from peritoneal trauma, for example before abdominal surgery and develop within times of surgery.

The scientists condition: “Laparoscopic surgery is regarded as connected with less surgical trauma, implying a discount of adhesions”, but explain that study literature around the clinical aftereffect of laparoscopy on adhesion-related morbidity is not convincing.

Inside a population-based register study, which incorporated methods from The month of january 2002 to December 2004, while using Swedish National Board of Health insurance and Welfare’s Inpatient Register, Avoi Angenete, M.D., Ph.D., from the Sahlgrenska College Hospital/Ostra in Gothenburg, Norway, and her team evaluated the proportion of SBO occurrences that happened after abdominal and pelvic surgery for a number of common surgical and gynecological conditions in 108,141 patients, to be able to identify potential SBO risks. The surgical methods incorporated appendectomy (appendix removal) and wls, including gastric bypass cholecystectomy (gallbladder removal) and hysterectomy (uterus removal).

The follow-up was as much as 5 years following the initial surgical procedures or until dying and also the study outcome shown that with respect to the kind of surgical treatment, the incidence of SBO ranged from .4% to 13.9%.

The scientists conclude:

 

“This study shows that, beyond important factors such as age, previous abdominal surgery and comorbidity (coexisting illnesses), the surgical technique is the most important factor related to SBO. Compared with laparoscopic surgery, open surgery seems to increase the risk of SBO at least four times.”