Author(s)

Abdoulaye Diarra^1*, Koniba Keita¹, Amadou Traoré¹, Assitan Koné¹, Issa Traore¹, Idrissa Tounkara¹, Abdoulaye Kante¹, Fadima K. Tall², Daouda Diallo², Moustaph Issa Magané², Madiassa Konate¹, Aboubacar Koné¹, Deborah Sanra Sanogo³, Ismaël Konare¹, Alhassane Traoré¹

¹General Surgery Department, Kati, Mali.
²Anesthesia Service and Resuscitation Department, Kati, Mali.
³Gastroenterology Department, Kati, Mali.

Objectives were to determine the frequency, describe the epidemiological and clinical aspects, therapeutic and analyze the postoperative course. Methodology: This was a retrospective study that covered 08 years (January 2009-December 2017). Inclusion criteria: all patients operated for obstruction of the small bowel by hail and/or flanging. Exclusion criteria: other types of occlusion and non-operated patients. Result: We recorded a total of 162 cases of hail obstruction by adhesions and/or flanges at 2.87%. The average age was 32.04, the sex ratio was 1.2. The average consultation time was 4 days. Abdominal pain associated with stopping of material and gas was present in all our patients. X-ray of the abdomen without preparation carried out in all the patients made it possible to objectify in 150 patients (92.6%) of the hydro-hail levels. Inoperative occlusion of hail on flange was present in 80 patients (49.4%). Occlusion of the small bowel on flange and adhesion was present in 69 patients. Adhesion obstruction of hail accounted for 6.8% (11 cases). The most commonly used surgical technique was flange resection in 91 patients (56.2%). The follow-up was simple in 151 patients (93.2%). Mortality was 1.2% of cases, i.e. 2 deaths. The average duration of hospitalization was 6 days. Conclusion: Occlusion of the small bowel by flanging and/or adherence is a surgical emergency whose prognosis depends on early management.

Postoperative Occlusion, Hail, Bridle/Adherence, Mali

Diarra, A. , Keita, K. , Traoré, A. , Koné, A. , Traore, I. , Tounkara, I. , Kante, A. , K. Tall, F. , Diallo, D. , Magané, M. , Konate, M. , Koné, A. , Sanogo, D. , Konare, I. and Traoré, A. (2018) Postoperative Occlusion of the Small Bowel with Flanges and/or Adhesions in General Surgery of Kati BSS CHU. Surgical Science, 9, 293-299. doi: 10.4236/ss.2018.99035.