POST-APPENDECTOMY ACUTE ADHESIVE INTESTINAL OBSTRUCTION: CLINICAL FEATURES AND TREATMENT APPROACHES

This study analyzes the clinical features and treatment outcomes of 164 patients who developed acute adhesive intestinal obstruction after appendectomy, treated from 2017 to 2023. The condition was more prevalent in females and most commonly developed months or years post-surgery. A strong correlation was found between obstruction and destructive forms of appendicitis, as well as traumatic surgical techniques involving drainage and tamponade. Conservative therapy was effective in 64.1% of cases, while 60 patients required surgery. Among these, postoperative mortality was 13.3%, mainly due to late presentation. The findings emphasize the importance of minimally invasive surgery and timely intervention in reducing complications.