Introduction
Adhesions following abdominal and pelvic surgery is important in view of their morbidity and frequent hospital admission.
In children, acute adhesive intestinal obstruction is the most common reason for emergency admission re-admission
Cases are classified into 3 groups according to radiological and clinical data:
Group [1] . [Early small bowel obstruction].
Group [2]: [Late small bowel obstruction].
Group [3] [Early large and small bowel obstruction].
results
Group (1) [Early small bowel obstruction]. (56 patients were subjected to conservative management: 30 cases were improved within 3 days.)
Group (2) [Late small bowel obstruction]. 4 patients were exposed to open laparotomy at the time of presentation.
Group (3) [Early small and large bowel obstruction] 10 patients were subjected to conservative management. 9 of them responded, one patient was treated laparoscopy.
Successful rate of conservative treatment was increased with increasing age, in patients who had more than one previous attack and at early stage of adhesive intestinal obstruction.
It decreased in patients who had primary surgery at neonatal age for intestinal obstruction.
Number of previous laparotomy and time between the primary surgery and time of presentation didn't affect the outcome of conservative management.