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Acta Biomedica Scientia

Volume 13, Issue 1, 2026
Mcmed International
Acta Biomedica Scientia
Issn
2348 - 215X (Print), 2348 - 2168 (Online)
Frequency
bi-annual
Email
editorabs@mcmed.us
Journal Home page
http://mcmed.us/journal/abs
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Abstract
Title
INCIDENCE AND MANAGEMENT OF POST-APPENDECTOMY SMALL BOWEL OBSTRUCTION: A RETROSPECTIVE STUDY
Author
Amirthalingam A.G1*, Prabhakar ReddyE
Email
Amirthalingam A.G1*, Prabhakar ReddyE
keyword
Appendectomy, Small Bowel Obstruction, Postoperative Adhesions, Retrospective Study, Adhesiolysis
Abstract
Appendectomy is the most performed emergency abdominal surgery across the globe, however, it has several complications, which make all its activities prone and subject to hemorrhic postoperative small bowel obstruction (SBO) as a result of the adhesions. The preset study was conducted at Sri Lakshmi Narayana Institute of Medical Sciences, Pondicherry. The retrospective hospital-based research done between June 2014 and June 2019 in Tertiary health Centre contained 782 patients who had gone through open appendectomy. Of these, 47 patients (3.8%) got small bowel obstruction whose average age was 29 years. It reviewed Clinical, radiological and laboratory results, and the nature of surgical intervention that was needed in the case of SBO. Small bowel obstruction developed within a few days after operations in 2 patients (0.2%), and within 2 years in 13 patients (1.6%) and thereafter in the remaining (4%). The most frequent kind of obstructive band adhesions was identified and some patients needed reception of bowel resection because of strangulation. The results were that the application of the linen in ligating the base of the appendix had shown a greater incidence of SBO. This paper has highlighted the need of early diagnosis and immediate treatment as delay might result in serious complication such as gastrointestinal resections. Minimally invasive surgery can potentially lower the risk of SBO, and more studies are required in order to gauge the efficacy of different preventative measures against postoperative adhesions
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