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Table 4 Preoperative data, early and long-term complications in relation to band or diffuse adhesions as the mechanism of SBO

From: Mechanisms of adhesive small bowel obstruction and outcome of surgery; a population-based study

 Band adhesion n = 226Diffuse adhesions n = 176p- value
Age (years)b66.7 ± 1866.8 ± 170.949
Gender m/f83/14379/970.098
ASA 1–2a125 (55%)79 (45%)0.027
ASA 3–497 (44%)96 (55%)0.027
No. previous operationsb1.3 ± 1.11.8 ± 1.1< 0.001
Admission to surgery (days, mean)b2.5 ± 5.24.5 ± 8.5< 0.001
Bleeding (ml)b106 ± 194304 ± 447< 0.001
Operation time (min)b75 ± 43122 ± 74< 0.001
Bowel injury50 (22%)103 (59%)< 0.001
Any bowel resection71 (31%)68 (39%)0.131
By-pass1 (0.4%)7 (4%)0.012
Early complications99 (44%)92 (52%)0.092
 Anastomotic leak (n = 139)0/71 (0%)4/68 (7%)0.055
 Wound dehiscence7 (3%)12 (7%)0.081
 Wound infection9 (4%)12 (7%)0.205
 Intraabdominal infection21 (9%)23(13%)0.229
 Aspiration8 (4%)7 (4%)0.818
 Pneumonia21 (9%)11(6%)0.264
 Myocardial infarction3 (1%)4 (2%)0.472
 Arrythmia12 (5%)9 (5%)0.930
 Urinary tract infection19 (8%)13 (7%)0.708
 Clavien-Dindo 259 (26%)45 (26%)0.903
 Clavien-Dindo 312 (5%)13 (7%)0.392
 Clavien-Dindo 418 (8%)22 (12%)0.132
 Clavien-Dindo 511 (5%)10 (6%)0.716
 Postoperative stay (days)b8.7 ± 7.113.6 ± 13.2< 0.001
 Length of stay (days)b11.5 ± 7.719.1 ± 16.7< 0.001
Late complications
 SBO- admission33 (15%)39 (22%)0.050
 SBO- admission days (mean)b1.9 ± 4.15.6 ± 11.90.002
 No. times admission for SBO (range)0.44 (0–3)1.02 (0–12)0.004
 SBO- surgery13 (5.8%)13 (7.4%)0.509
 Hernia11 (5%)13 (7%)0.290
 Deceased at follow-up73 (32%)85 (48%)0.001
  1. aASA- class: 5 patients missing. bMean ± SD.