Work

Prevention of acute adhesive intestinal obstruction in the postoperative period: A meta-analysis

Year: 2026

Type: review

Study designs: Systematic Review, Meta-Analysis

Abstract: Background: Adhesive small bowel obstruction (ASBO) results from postoperative adhesions, causing prolonged hospital stays and surgeries. Objective: To evaluate the effectiveness of ASBO prevention: surgical, adhesion prevention strategies, and conservative methods. Methods: A meta-analysis evaluating interventions to prevent ASBO post-surgery used data from Web of Science, Scopus, Cochrane Library, ProQuest, PubMed, and Google Scholar (2020-2025). RevMan 5.4 and R Studio were used, including 25 relevant studies. Results: Results highlighted differences in reoperation rates (1.4-20.7%), hospital stay lengths (4-23 days), and follow-up durations (≥ 2 years for 55% of studies). Surgical methods (odds ratio [OR] = 12.01) and the use of adhesion barriers (OR = 0.21) mitigated the risk of adhesive intestinal obstruction (AIO). Conservative management (OR = 4.58) was also effective. Conclusions: Surgical methods, the use of barriers to adhesions, and other less invasive interventions help in the prevention of AIO, as well as in the recovery processes.

Source: Electronic Journal of General Medicine

DOI: 10.29333/ejgm/18345

Authors: Bekezhan Aitbekov, Auyeskhan Dzhumabekov, Ernis Alybaev, Berik Dzhumabekov, Ildar Fakhradiyev, Daniyar Sultankulov

Institutions: Kazakhstan Medical University, Ministry of Health of Kyrgyzstan, Kazakh National Medical University, Al-Farabi Kazakh National University

Language: English

Topic: Intestinal and Peritoneal Adhesions

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7153572201