Intestinal Placation With Intraoperative Intraminal Placement Of Long Nasointestinal Tube Within The Small Intestine In The Treatment Of Abdominal Cocoon

Objective: To study the intraoperative placement of Long nasointestinal tube within the small intestine for rearrangement in the treatment of abdominal cocoon and its potential curative effect.Methods: A retrospective analysis from May 2009 to May 2014 was done in the Second Affiliated Hospital of Dalian Medical University with a preoperative and intraoperative diagnosis of abdominal cocoon and a total of 21 cases underwent surgical treatment.The treatment group consisted of 10 patients with the intraoperative placement of Long nasointestinal tube within the small intestine for rearrangement in the treatment of abdominal cocoon while control group had 11 patients who had not tube placement.The comparison of the two kinds of operation method was done in assessing the following: postoperative exhaust time;Postoperative negative pressure lead flow;Postoperative complications;The length of time.Results: Between the group of intraoperative placement of Long nasointestinal tube within the small intestine for rearrangement in the treatment of abdominal cocoon group compared with no intestinal tube group,postoperative exhaust time was,respectively,(4.11±0.78)and(5.18 ± 0.98)days and there was no statistically significant difference(P > 0.05);Length of hospital stay being(20.11 ±1.27)and(20.09 ±2.02)days respectively with no statistically significant difference(P > 0.05).However,negative pressure drain between the 2 groups was statistically significant(P < 0.001)with(238.33±48.61)ml/day and(131.88±34.87)ml/day;The incidence of postoperative complications was 30.0%(3/10)and 54.55%(6/11)respectively and the difference was statistically significant(P < 0.001).After six months of follow-up,when compared with the control group,the recurrence rate of postoperative adhesive intestinal obstruction was decreased in patients with the nasointestinal tube placement(P = 0.0349).Conclusion: Application of intraoperative placement of Long nasointestinal tube within the small intestine for rearrangement in the treatment of abdominal cocoon can significantly reduce the incidence of postoperative adhesive intestinal obstruction in abdominal cocoon patients is an ideal operation method.This has a great clinical value in the treatment of abdominal cocoon disease.