Hernia Incarcerated, Small Bowel Obstruction, Small Bowel Obstruction Adhesion, Small-Bowel Obstruction Due to Volvulus
Conditions
Keywords
Acute intestinal obstruction, small bowel obstruction, nasointestinal tube, nasogastric tube
Brief summary
This study will compare results of different intestinal decompression techniques in patients with small bowel obstruction.
Detailed description
Taking into account the large number of different variations of intestinal decompression methods, a comparative analysis will be carried out based on one comparison group (I) and three main ones (IA-B). The comparison criterion will be a group of patients with nasogastric drainage as the only method of the gastrointestinal tract decompression during surgery and in the postoperative period. In the main groups more active methods of intestinal decompression will be performed, including drainage of the initial parts of the small intestine or total intubation, both single-stage intraoperative and its extended version
Interventions
Insertion the tubes of various lengths (nasogastral, short and long nasointestinal) into the gastrointestinal tract during operations in patients with acute small intestinal obstruction
Sponsors
Study design
Eligibility
Inclusion criteria
* acute adhesive intestinal obstruction, including strangulation forms; * incarcerated ventral hernias, accompanied by impaired intestinal passage; * acute adhesive intestinal obstruction in the hernial sac; * obstruction of the small intestine lumen with gallstones and other foreign bodies.
Exclusion criteria
* with peritonitis and other complicated surgical infection; * operations with intestinal resection; * patients after laparostomy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| 30-day postoperative mortality | 30 days after operation | Number of patients, died during 30 days after the operation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative complications | 30 days after operation | Postoperative complications, defined according Clavien-Dindo classification |
Countries
Russia