Objective To investigate the clinical characteristics and treatment strategies of early inflammatory ileus after gynecological surgery.
Methods The clinical data of 15 cases with early inflammatory ileus after gynecological surgery in our hospital were retrospectively analyzed.
Results Out of the 15 patients, intestinal obstruction symptoms occurred in 7 cases at 2 to 4 days after gynecological operation, 4 cases at 5 to 6 days after operation, and 4 cases at 8 to 12 days after operation. The symptoms manifested as abdominal pain and distension as well as anal dysfunction in defecation and exhaust. The plain abdominal film showed that the intestinal liquid was flat in standing position, and intestinal flatulence in lying position. Fifteen patients were confirmed as intestinal obstruction according to symptoms, signs and auxiliary examinations. All patients were cured after conservative treatment including fasting, gastrointestinal decompression, nutritional support and somatostatin. There was no recurrence of intestinal obstruction during 1 to 6 months follow-up.
Conclusion Early postoperative inflammatory intestinal obstruction usually occurs within 2 weeks after operation. Conservative treatment is appropriate for better prognosis.
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