Adhesive Intestinal obstruction is an inevitable complication of abdominal surgery with significant morbidity associated with poor quality of life and predispose to repeated hospitalization. Most of them (73% - 90%) can be managed conservatively.Despite advances in surgery, 15to 30% require surgical intervention primarily or due to failure of conservative management. Because of the nature of the disease recurrence has been estimated to be 30%.Many attempts to prevent formation of postoperative adhesions have been tried. In this trial, we will study the effect of corticosteroids and FFP in prevention of adhesive small bowel obstruction recurrence for follow up of 2 years duration.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
DOUBLE
Enrollment
176
after adhesiolysis, peritoneal lavage with diluted corticosteroids will be instillated intra-abdominally
after adhesiolysis, peritoneal lavage with diluted FFP will be instillated intra-abdominally
Faculty of Medicine
Zagazig, Sharqia Province, Egypt
Zagazig University Hospitals
Zagazig, zagazig, Egypt
intestinal obstruction
intestinal obstruction is detected if the patient had constipation and vomiting with ultrasound showing dilated bowel and to and fro movement and the plain erect shows multiple air fluid levels
Time frame: from 1 day to 2 years post operative
bowel injury
bowel injury will be detected if intestinal contents present in the drain or wound
Time frame: from 1 day to 2 years post operative
wound infection
wound infection is detected if there is pus in the drain or wound
Time frame: from 1 day to 2 weeks post-operative
age
age will be recorded in years
Time frame: from 2 to 3 days before surgery
sex
The sex of the patient will be recorded (male or female)
Time frame: from 2 to 3 days before surgery
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