Evaluation of Adhesions Induced Intestinal Obstruction following Abdominal Penetrating Missile Injuries

Abstract

Objectives: To evaluate the incidence of adhesions
induced intestinal obstruction after explorative laparotomy
due to bullet/shell injury in Al-Kindi teaching
hospital/Baghdad.
Results: Thirty-six out of the 76 cases with adhesions
induced intestinal obstruction (A.I.I.O.) had history of
laparotomy for penetrating missile injury, 26 of them were
explored as a method of management of A.I.I.O. with
mean age (22 for those explored, ٣٧ for those treated
conservatively), 16 of them presented within a year or less
from the previous surgery.
Methods: Comparative interventional prospective study of
cases with adhesions induced intestinal obstruction
admitted to the surgical wards in Al-Kindi teaching
hospital from the 1st of January 2008 to 31st of December
2008. cases were followed considering the indications of
previous laparotomies, the patients age, gender, duration
between previous surgery and their presentation with
intestinal obstruction
Conclusion: Cases required surgical interventions for
treatment were mainly those following explorative
laparotomy for penetrating missile injury they were mainly
of young age Groups