الفهرس | Only 14 pages are availabe for public view |
Abstract Post-operative intestinal obstruction is a common and challenging diagnostic and therapeutic problem for surgeon and time factor plays and important role were inability to pass flatus is hazardous for the patient and discomfort for the surgeon. Mortality about 6 % in simple obstruction and 37 % mortality in strangulated obstruction. Intestinal obstruction may be simple or strangulated according to the blood supply to these part of intestines. Prognosis depend mealy upon the type of obstruction. So it is important to study a different diagnostic modalities that determine which type: where conservative treatment for simple obstruction will solve the problem without surgical interference for strangulated is so important. The aim of this work is to fined diagnostic ’methods through clinical examination laboratory findings and X-ray, ultrasonography and CT to answer this questions: Is there is intestinal obstruction or not. At which level intestine was obstructed. Which type of intestinal obstruction. This study was cared out on 76 patients in emergency department of surgery at Menophia University and Damanhour teaching hospitals cases of post-operative intestinal obstruction that occur in the first month were excluded as it is manly due to paralytic illus. The majority of cases were adhesive intestinal obstruction. All cases were subjected to the following: -I. History taking. -11. Clinical examination. - . Routine laboratory investigations and also investigations to confirm the fluid and electrolyte status. |