FEATURES OF CONDUCTING INTESTINAL OBSTRUCTION CAUSED BY APPENDICITIS

Vestnik ◽  
2021 ◽  
pp. 176-178
Author(s):  
А.К. Кайрат ◽  
А.Д. Ауескали ◽  
С.Е. Сейсен ◽  
Д.Б. Рахметалы ◽  
Ж.Т. Абдигалиев ◽  
...  
Keyword(s):  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Operating Room ◽  
Acute Intestinal Obstruction

Если назвать аппендицит одним из самых главных заболевани в хирургии, то аппендицит с перфорационным перитонитом, абсцесс, сепсис и кишечная непроходимость являются самыми важными его осложнениями. Цель. Определить и проанализировать случаи связанные с аппендицитом послужившими причиной развития острой кишечной непроходимости (далее - ОКН). Материалы и методы Выбраные пациенты проходили лечение в ГКБ №7 г.Алматы с 1 января 2020 по 1 января 2021 г. Пациенты были прооперированы в связи с воспалением аппендикса. Был проведен анализ истории болезней 1227 пациентов с предварительным диагнозом острый аппендицит. Результаты Из числа выбранных пациентов найдено 45 случаев с наличием острой кишечной непроходимости. Из них 33 пациента мужчины (73,3 %), 12 пациентов женщины (26,6%). У 38 случаев (84,4%) вследствие наличия или совокупности следующих факторов была обнаружена ОКН: 1) аппендикс лежащий на петлях кишечника, вызванный спайками; 2) грыжа через кольцо или разрыв верхушки аппендикса; 3) кончик отростка прикреплен к кишечнику вызывая перекрут; 4) перегиб кишечника; 5) сложное образования узлов. Диагностика данного осложнения очень сложна и весьма важна в выборе тактики хирургического лечения и дальнейшего ведения. Выводы В результате исследования было доказано, что аппендицит является важной причиной кишечной непроходимости. Предоперационная диагностика аппендицита осложенного кишечной непроходимостью так же остается важной и актуальной проблемой современной хирургии несмотря на развитие компьютерных методов диагностики. Appendicitis is the cause of multiple bowel-related complications. One of the most important complications of appendicitis for surgery is acute intestinal obstruction (AIO). However, the diagnosis of AIO is important for determining treatment tactics, despite its extreme complexity. The underestimated importance of diagnostics leads to a change in the tactics of surgery directly in the operating room, which, in turn, leads to an increase in the risk of adverse postoperative complications.

scholarly journals ONCOLOGICAL OPERATIONS IN EMERGENCY SURGERY (CLINICAL CASE)

2021 ◽  
pp. 29-33
Author(s):  
K.V. Atamanov ◽  
◽  
V.E. Voitsitsky ◽  
O.A. Tkachuk ◽  
V.A. Lebedeva ◽  
...  
Keyword(s):  
Colorectal Cancer ◽  
Colon Cancer ◽  
Postoperative Complications ◽  
Intestinal Obstruction ◽  
Clinical Case ◽  
Positive Outcome ◽  
Acute Intestinal Obstruction ◽  
Major Surgery ◽  
Number Of Patients ◽  
Combined Interventions

The increase in the incidence of colorectal cancer cannot go unnoticed. The number of patients with its complications in general surgical hospitals is growing steadily. The main ones include acute intestinal obstruction, bleeding, tumor destruction with paracancerous abscess formation or perforation. This limits the possibilities of carrying out the radical treatment of oncoproctological patients significantly, and reduces the number of resection interventions considerably. The incidence of postoperative complications in emergency patients is statistically higher than after elective surgeries. The most fatal is the failure of the enterocolonic anastomosis, usually requiring relaparotomy and often colostomy. With regional tumors, combined interventions are necessary, a prerequisite for which is the availability of trained specialists. The article presents a clinical case of performing a major surgery with a positive outcome for complicated colon cancer in a hospital on duty.

Acute intestinal obstruction : an unusual cause

2020 ◽  
Vol 41 (4) ◽  
pp. 231-234
Author(s):  
M Tarchouli ◽  
M Essarghini ◽  
A El Kharras
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction

CHANGES IN SMALL INTESTINE MICROFLORA IN PATIENTS WITH ACUTE INTESTINAL OBSTRUCTION

2020 ◽  
pp. 16-18
Author(s):  
V. M. Lykhman ◽  
O. M. Shevchenko ◽  
Ye. O. Bilodid ◽  
Igor Vladimirovich Volchenko ◽  
I. A. Kulyk ◽  
...  
Keyword(s):  
Small Intestine ◽  
Gastrointestinal Tract ◽  
Species Composition ◽  
Intestinal Obstruction ◽  
Bacterial Flora ◽  
Anaerobic Bacteria ◽  
Acute Intestinal Obstruction ◽  
Gram Positive ◽  
Mechanical Intestinal Obstruction ◽  
Facultative Anaerobic Bacteria

Among urgent surgical diseases of abdominal cavity, an acute intestinal obstruction is the most difficult to be diagnosed and treated. Leading factor, determining the development of pathophysiological processes is considered to be the progressive manifestations of enteric insufficiency syndrome, resulting in intestinal barrier impairment, negative changes in ecology of intestinal flora, increased endotoxins. To identify the small intestine microflora in acute intestinal obstruction and determine the role of dysbiotic disorders in clinical manifestations of main pathological process, a study was conducted in 60 patients with mechanical intestinal obstruction. The small intestine has a relatively rare microflora, consisting mainly of gram−positive facultative aerobic microorganisms, streptococci, lactobacilli. The distal ileum in nearly 30−55 % of healthy people contains scanty microflora, and yet the flora of this area differs from the microbial population of the higher gastrointestinal tract due to higher concentration of gram−negative bacteria. Optional−anaerobic coliform bacilli, anaerobic bifidobacteria and fusobacteria, bacteroids, the number of which starts exceeding the one of gram−positive species, are presented in significant quantities. Distal to the ileocecal valve there are significant changes in the microflora quantitative and species composition. Obligatory anaerobic bacteria become the predominant part of microflora, exceeding the number of aerobic and facultative anaerobic bacteria. The bacterial flora in different parts of gastrointestinal tract has its own specifics and is quite constant, as a result of the interaction of many factors, regulating the bacterial population in small intestine. The most important among them are: acidity of gastric juice, normal peristaltic activity of the intestine, bacterial interactions and immune mechanisms. Disorders of the intestine motor and evacuation function with its obstruction lead to slow passage of the chyme and contamination of the upper gastrointestinal tract with new types of microbes. There is a syndrome of small intestine excessive colonization, which means an increased concentration of bacterial populations in it, similar in species composition to the colon microflora. Pathological intra−intestinal contents become a source of endogenous infection and re−infection of the patient, leads to internal digestive disorders, which is manifested by syndrome of malabsorption of proteins, carbohydrates and vitamins. Key words: acute intestinal obstruction, small intestinal microflora, conditionally pathogenic microorganisms, intestinal biocenosis.

Acute Intestinal Obstruction

BMJ ◽  
1926 ◽  
Vol 2 (3422) ◽  
pp. 275-275
Author(s):  
J. O'Conor
Keyword(s):  
Intestinal Obstruction ◽  
Acute Intestinal Obstruction

scholarly journals Strangulated internal supravesical hernia associated with left inguinal hernia: A very rare case report of acute intestinal obstruction

2021 ◽  
pp. 102393
Author(s):  
El yamine othmane ◽  
Fatimazahra Bensardi ◽  
Abdessamad majd ◽  
El Bakouri Abdelilah ◽  
Bouali Mounir ◽  
...  
Keyword(s):  
Case Report ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Rare Case ◽  
Acute Intestinal Obstruction ◽  
Rare Case Report

A rare encounter of obstructed direct inguinal hernia

2019 ◽  
Vol 22 (2) ◽  
pp. 41-43
Author(s):  
Amit Kumar Singh ◽  
Nripesh Rajbhandari ◽  
Balaram Malla ◽  
Gakul Bhatta
Keyword(s):  
Emergency Department ◽  
Inguinal Hernia ◽  
Intestinal Obstruction ◽  
Intestinal Resection ◽  
Posterior Wall ◽  
Acute Intestinal Obstruction ◽  
University Hospital ◽  
Direct Inguinal Hernia ◽  
Direct Hernia ◽  
The Right

The direct inguinal hernia has a wider neck and thus usually doesn’t present as strangulation or incarceration in comparison to the indirect component. When direct inguinal hernias are untreated for a longer duration, they may get strangulated and incarcerated. Hence such long-standing direct hernias with features of intestinal obstruction and /or peritonism should be promptly seen and diagnosed to prevent massive and unwanted intestinal resection. We are reporting a case of 83-year-old male presented to Surgical Emergency Department of Dhulikhel Hospital, Kathmandu University hospital with complaints of swelling in the right inguinoscrotal region for 12 years and progressed to become irreducible and painful for 12 hours. Clinically he had an acute intestinal obstruction. Intra-operatively we found a direct hernia containing congested small bowel loops and toxic fluids. The toxic fluid was suctioned and after confirming viability, modified Bassini’s repair was done with reinforcement of the posterior wall. Even direct inguinal hernia of longer duration can cause acute or sub-acute intestinal obstruction with or without features of peritonism. This complication is more common in elderly patients.

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