Clinical features of postoperative intestinal adhesions

1. Closely related to the history of surgical trauma, with no similar symptoms before surgery and appearing afterwards. Sometimes patients have undergone multiple abdominal surgeries, such as cesarean section and appendectomy, can be relatively clear symptoms and a certain surgery more relevant.

2, postoperative intestinal adhesions occur mainly at the site of the abdominal wall incision, the abdominal wall adhesions at the incision is the main. Performance of abdominal tugging pain.

3, easy to occur gastrointestinal dysfunction, especially manifested as small intestine motor function obstruction. A small amount of one-time food, a large amount of food, gas-producing food such as potatoes, indigestible food such as doughnuts, dry noodle buns, fried rice cakes, etc., raw and cold food are prone to abdominal distension and abdominal pain, and even intermittent intestinal obstruction occurs, which can mostly be successfully treated conservatively, and the frequency of attacks increases year by year with the weakening of the body. Severe cases can not eat normally.

4, adhesions triggered by intestinal obstruction after remission mostly do not leave secondary pathological changes such as intestinal hypertrophy and expansion, that is, the intestinal tube itself is not diseased.

5.The local pathological changes of postoperative intestinal adhesions lack volumetric and physicochemical traits, which are difficult to be detected by the existing imaging examination, so the existing examination cannot detect or confirm the existence of intestinal adhesions except for laparoscopic exploration or open surgery.

6.Although the diet is affected by intestinal dysfunction, the nutritional status and general body condition can basically maintain a relatively stable state for a long time.

7. Although the symptoms of postoperative intestinal adhesions are not strong in character, they do not appear when there is infection and fever, fluid in the chest and abdomen, abdominal mass, jaundice, gastrointestinal bleeding, diarrhea, etc., which basically do not affect the function of other body system organs, and if there are these symptoms, they are not considered postoperative intestinal adhesions.