Predictor of early post-operative small bowel obstruction in patients undergoing emergency laparotomy and the role of computed tomography in detecting need for re-laparotomy


  • Sunil Kumar Singh Department of Surgery, VMMC and Safdarjung Hospital, New Delhi, India
  • Arun Singh Department of Surgery, VMMC and Safdarjung Hospital, New Delhi, India
  • Rajnikant Kumar Department of Surgery, VMMC and Safdarjung Hospital, New Delhi, India



Early post-operative small bowel obstruction (EP-SBO), Laparotomy, Peritonitis


Background: Early Post-Operative Small Bowel Obstruction (EP-SBO) is common complication following laparotomy. Pathophysiology of early post-operative small bowel obstruction is poorly understood.

Methods: This cross-sectional observational study was conducted over a period of 18 month on 180 patients who underwent emergency abdominal laparotomy.

Results: EP-SBO developed in 35.55% patients. History of previous surgery, location of disease, degree of peritonitis, operative procedure, wound dehiscence was found to be significantly related with occurrence of EP-SBO.

Conclusions: EP-SBO is more likely to develop if patient had history of previous surgery, peritonitis, some operative procedure, ostomy, wound dehiscence. We should have a preventive attitude towards any risk factor at any stage- Before, During and After surgery and CECT-Abdomen is a helpful tool in establishing need of re-laparotomy.


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