Band Adhesions in Relation to Previous Abdominal Surgery

Band Adhesions in Relation to Previous Abdominal Surgery - a Retrospective Analysis of Risk Factors

This study investigates the prevalence of previous abdominal surgery in a cohort of patients operated for bowel obstruction and analyzes the causes of obstruction discovered at surgery.

Study Overview

• Status: Completed
• Conditions: Intestinal Obstruction; Surgical Adhesions; Surgery Induced Tissue Adhesions
• Intervention / Treatment: Procedure: Intestinal obstruction

Detailed Description

Postoperative intra-abdominal adhesions are a common cause of small bowel obstruction. The extent of adhesions has been assigned to the magnitude of previous surgery. In a county hospital, with a catchment population of 120 000 inhabitants, records of operations performed for bowel obstruction over a period of 70 months were retrieved. Codes for bowel obstruction according to an International Classification of Diseases (ICD-10) will include: Intestinal adhesion with obstruction, Other and unspecified intestinal obstruction, Intestinal obstruction and Peritoneal adhesions. Amount of adhesions will be calculated in relation to previous surgery.

• Study Type: Observational
• Enrollment (Actual): 196

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: Child; Adult; Older Adult
• Accepts Healthy Volunteers: No
• Genders Eligible for Study: All

• Sampling Method: Non-Probability Sample

Study Population

According to the protocol, 213 surgical procedures were identified. 17 procedures were excluded due to no bowel obstruction at surgery. Intestinal obstruction was evident in 196 procedures. These procedures were included in this study.

Description

Inclusion Criteria:

Subjects operated for bowel obstruction -from January 1st 2006 to October 31st 2011

Surgical codes for bowel obstruction:

• Intestinal adhesion with obstruction
• Other and unspecified intestinal obstruction
• Intestinal obstruction
• Unspecified and Peritoneal adhesions

Surgical procedures identified for bowel obstruction:

• Division of band adhesion
• Adhesiolysis
• Other separation of adhesion during bowel obstruction
• Laparotomy and reposition or detorsion of intestine.

Exclusion Criterias:

-Extra-peritoneal surgery such as inguinal or ventral hernia repair was excluded.

Study Plan

How is the study designed?

Design Details

• Observational Models: Cohort
• Time Perspectives: Retrospective

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Measure Description	Time Frame
Cause of bowel obstruction	Bowel obstruction; caused by adhesions, malignant disease, inflammation or other causes	70 months

Collaborators and Investigators

• Sponsor: Göteborg University

Study record dates

Study Major Dates

• Study Start (Actual): January 1, 2006
• Primary Completion (Actual): October 31, 2011
• Study Completion (Actual): October 31, 2011

Study Registration Dates

• First Submitted: September 6, 2018
• First Submitted That Met QC Criteria: September 6, 2018
• First Posted (Actual): September 10, 2018

Study Record Updates

• Last Update Posted (Actual): February 24, 2023
• Last Update Submitted That Met QC Criteria: February 22, 2023
• Last Verified: February 1, 2023

More Information

Terms related to this study

• Additional Relevant MeSH Terms: Digestive System Diseases; Pathologic Processes; Gastrointestinal Diseases; Intestinal Diseases; Fibrosis; Cicatrix; Tissue Adhesions; Intestinal Obstruction
• Other Study ID Numbers: Adhesions2018vgr

Plan for Individual participant data (IPD)

• Plan to Share Individual Participant Data (IPD)?: NO

Drug and device information, study documents

• Studies a U.S. FDA-regulated drug product: No
• Studies a U.S. FDA-regulated device product: No