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 = 226 | Diffuse adhesions n = 176 | p- value | |
|---|---|---|---|
Age (years)b | 66.7 ± 18 | 66.8 ± 17 | 0.949 |
Gender m/f | 83/143 | 79/97 | 0.098 |
ASA 1–2a | 125 (55%) | 79 (45%) | 0.027 |
ASA 3–4 | 97 (44%) | 96 (55%) | 0.027 |
No. previous operationsb | 1.3 ± 1.1 | 1.8 ± 1.1 | < 0.001 |
Admission to surgery (days, mean)b | 2.5 ± 5.2 | 4.5 ± 8.5 | < 0.001 |
Bleeding (ml)b | 106 ± 194 | 304 ± 447 | < 0.001 |
Operation time (min)b | 75 ± 43 | 122 ± 74 | < 0.001 |
Bowel injury | 50 (22%) | 103 (59%) | < 0.001 |
Any bowel resection | 71 (31%) | 68 (39%) | 0.131 |
By-pass | 1 (0.4%) | 7 (4%) | 0.012 |
Early complications | 99 (44%) | 92 (52%) | 0.092 |
Anastomotic leak (n = 139) | 0/71 (0%) | 4/68 (7%) | 0.055 |
Wound dehiscence | 7 (3%) | 12 (7%) | 0.081 |
Wound infection | 9 (4%) | 12 (7%) | 0.205 |
Intraabdominal infection | 21 (9%) | 23(13%) | 0.229 |
Aspiration | 8 (4%) | 7 (4%) | 0.818 |
Pneumonia | 21 (9%) | 11(6%) | 0.264 |
Myocardial infarction | 3 (1%) | 4 (2%) | 0.472 |
Arrythmia | 12 (5%) | 9 (5%) | 0.930 |
Urinary tract infection | 19 (8%) | 13 (7%) | 0.708 |
Clavien-Dindo 2 | 59 (26%) | 45 (26%) | 0.903 |
Clavien-Dindo 3 | 12 (5%) | 13 (7%) | 0.392 |
Clavien-Dindo 4 | 18 (8%) | 22 (12%) | 0.132 |
Clavien-Dindo 5 | 11 (5%) | 10 (6%) | 0.716 |
Postoperative stay (days)b | 8.7 ± 7.1 | 13.6 ± 13.2 | < 0.001 |
Length of stay (days)b | 11.5 ± 7.7 | 19.1 ± 16.7 | < 0.001 |
Late complications | |||
SBO- admission | 33 (15%) | 39 (22%) | 0.050 |
SBO- admission days (mean)b | 1.9 ± 4.1 | 5.6 ± 11.9 | 0.002 |
No. times admission for SBO (range) | 0.44 (0–3) | 1.02 (0–12) | 0.004 |
SBO- surgery | 13 (5.8%) | 13 (7.4%) | 0.509 |
Hernia | 11 (5%) | 13 (7%) | 0.290 |
Deceased at follow-up | 73 (32%) | 85 (48%) | 0.001 |