Biomedical Research

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Effect of internal pipe-based small intestinal plication on incision infection, intra-abdominal abscess, and incidence of intestinal fistula of patients with adhesive intestinal obstruction

Objective: The aim of this paper is to study the effects of internal pipe-based small intestinal plication on incision infection, intra-abdominal abscess, and incidence of intestinal fistula of patients with Adhesive Intestinal Obstruction (AIO).

Methods: A total of 52 patients with AIO were divided into the control group (n=26) and study group (n=26) according to time of admission to hospital. The control group was given conventional surgical therapy, whereas the study group was given internal-pipe-based small intestinal plication. Recovery time for passage of gas by anus, length of stay, and incidence of complications of two groups were compared.

Results: The study group had significantly shorter recovery time for passage of gas by anus (29.3 ± 3.6) h and LOS (6.1 ± 1.6) d than the control group (P<0.05). Before the treatment, two groups had no statistically significant difference in serum albumin (P>0.05). After the treatment, the serum albumin of the study group was (34.8 ± 4.0) g/L, and the serum albumin of the control group was (28.5 ± 3.1) g/L, thereby showing statistically significant differences (P<0.05). The incidence of complications (incision infection, intra-abdominal abscess, and incidence of intestinal fistula) of the study group is 3.85%, which is significantly lower than that of the control group (19.23%) (P<0.05).

Conclusions: Internal pipe-based small intestinal plication showed a definite curative effect with few complications in AIO patients. It can be used in clinical practice.

Author(s): Ya-Ru Wang, Yong-Le Chen, Xiao-Liang Tang