Objective To analyze the
diagnosis and
treatment of
intestinal obstruction patients caused by
intra-abdominal hernia with no abdominal
surgery history ,in order to raise
awareness .
Methods Clinical data of 23
intestinal obstruction patients caused by
intra-abdominal hernia with no abdominal
surgery history were retrospectively analyzed.The clinical manifestations ,type,and
risk factors were analyzed .And its
diagnosis and prevention was dis-cussed.Results 23
patients were caused by intestinal
blood circulation disorders ,in which there were 11 cases
small intestine mesentery hernia ,2 cases duodenal
hernia ,2 cases pericecal hernia ,3 cases
omentum hernia ,1 case
obturator hernia,2 cases
congenital dysplasia and intestinal mesenteric torsion induced small
hernia ,2 cases formation of intra-abdominal
pressure alone belted
intestine ,8 cases of intestinal
necrosis .22
patients were cured after
surgery ,1 case died,12 cases had
postoperative complications .The
incidence rate of
postoperative complications of
patients with in-testinal
necrosis was 59.3%(
wound infection 37.1%,
pneumonia 22.2%), which was significantly higher than 11.8%of
patients without intestinal
necrosis (
wound infection 5.9%,
pneumonia 5.9%)(χ2 =3.861,3.861,all P<0.05).Conclusion The
intestinal obstruction caused by
intra-abdominal hernia with no abdominal
surgery history is closed loop obstruction , preoperative
diagnosis is difficult , with the rapid progression of the
disease , and intestinal strangulation ,intestinal
necrosis can occur in the short term whithout timely surgical
treatment .Therefore ,early diagno-sis and prompt surgical
treatment is the key to the
diagnosis and
treatment of
intestinal obstruction caused by intra -ab-dominal
hernia with no abdominal
surgery history .