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Review · Electronic Journal of General Medicine · April 11, 2026

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

Б.К. АЙТБЕКОВ, А.Т. ДЖУМАБЕКОВ, Ernis Alybaev, Berik Dzhumabekov, Ildar Ravisovich Fakhradiyev, Daniyar Sultankulov

Ildar Fakhradiyev
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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.

Intestinal and Peritoneal AdhesionsEnhanced Recovery After SurgeryHernia repair and managementadhesive small bowel obstructionpostoperative adhesionsadhesion prevention

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