Abdominal Instillation of Crystalloid Fluid Decreases the Recurrence of Adhesive Small Bowel Obstruction.

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  • Additional Information
    • Source:
      Publisher: SAGE Publications in association with Southeastern Surgical Congress Country of Publication: United States NLM ID: 0370522 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1555-9823 (Electronic) Linking ISSN: 00031348 NLM ISO Abbreviation: Am Surg Subsets: MEDLINE
    • Publication Information:
      Publication: 2020- : [Thousand Oaks, CA] : SAGE Publications in association with Southeastern Surgical Congress
      Original Publication: Atlanta Ga : Southeastern Surgical Congress
    • Subject Terms:
      Intestinal Obstruction*/etiology ; Intestinal Obstruction*/surgery ; Intestine, Small* ; Crystalloid Solutions*/administration & dosage ; Recurrence*; Humans ; Tissue Adhesions/prevention & control ; Tissue Adhesions/surgery ; Male ; Female ; Middle Aged ; Aged ; Reoperation ; Retrospective Studies ; Adult ; Treatment Outcome ; Isotonic Solutions/administration & dosage ; Secondary Prevention/methods
    • Abstract:
      Peritoneal adhesion is a common cause of small bowel obstruction (SBO). In this study, we included 40 adult patients who had SBO, or partial obstructive symptoms. In the abdominal instillation of crystalloid fluid (AICF) cohort, 16 patients underwent lysis of adhesions and abdominal crystalloid fluid instillation at the end of the procedure. In the control (CO) group, 24 patients received lysis of adhesions without fluid instillation. AICF was achieved by the abdominal instillation of 1864 ± 97.5 mL of crystalloid fluid. We analyzed the recurrence of peritoneal adhesions resulting in reoperation for SBO within the 64.3 ± 9.15 months of follow-up time for the CO and the 70.5 ± 13.16-month follow-up for the AICF group. The AICF group had a lower SBO recurrence rate of 12.5% compared to the CO group's 41.6% rate ( P = .049). Taken together, AICF decreased the recurrence of SBO requiring reoperation secondary to adhesion formation compared to the lysis of adhesions alone, as seen in the CO group.
      Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
    • Contributed Indexing:
      Keywords: GI surgery; abdominal instillation of crystalloid fluid; colectomy; lactated Ringer’s (LR) solution; peritoneal adhesions
    • Accession Number:
      0 (Crystalloid Solutions)
      0 (Isotonic Solutions)
    • Publication Date:
      Date Created: 20240617 Date Completed: 20241010 Latest Revision: 20241010
    • Publication Date:
      20241010
    • Accession Number:
      10.1177/00031348241262426
    • Accession Number:
      38884650