Surgical indicators for the operative treatment of acute mechanical XXXX due to adhesions.

@entity1 @entity1133 @entity63 @entity1321 @entity1011 @entity221
PURPOSE: Our aim was to investigate the predictive factors indicating strangulation, and the requirement for surgery in @entity1 with acute mechanical @entity1321 due to adhesions. METHODS: This study retrospectively evaluated the records of @entity1 with adhesive acute mechanical @entity1321 . The surgical treatment (group S), conservative treatment (group C), intraoperative @entity63 (group I), and intraoperative adhesion only (group A) groups were statistically evaluated according to the diagnostic and surgical parameters. RESULTS: The study group of 252 @entity1 consisted of 113 @entity1 (44.8%), and 139 @entity1 (55.2%). The mean age was 62.79    18.08 years (range, 20-98 years). Group S consisted of 50 @entity1 (19.8%), and 202 (80.2%) were in group C. Group I consisted of 19 @entity1 (38%), where as 31 (62%) were in group A. In group S, the prehospital symptomatic period was longer, incidence of @entity221 was increased, and elevated CRP levels were significant (P < 0.05). Plain abdominal radiography, and abdominal computerized tomography were significantly sensitive for strangulation (P < 0.05). The elderly were more prone to strangulation (P < 0.05). Fever, rebound tendernes, and @entity1133 _ @entity1011 levels were significantly higher in the presence of strangulation (P < 0.05, P < 0.05, and P < 0.05, consecutively). CONCLUSION: Fever, rebound tenderness, @entity1133 _ @entity1011 levels, plain abdominal radiography, and abdominal computerized tomography images were important indicators of @entity63 . Longer prehospital symptomatic period was related with a tendency for surgical treatment, and the elderly were more prone to strangulation. CRP detection was considered to be useful for the decision of surgery, but not significantly predictive for strangulation.
