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Appendix, Gallbladder and Surgical Emergencies ·

Delayed surgery worsens outcomes in adhesive small bowel obstruction.

  • Early mortality rises with surgical delay: 3.6% (0-1 days) to 7.1% (≥9 days).
  • Bowel resection rates increase from 18.0% to 24.5% as delays lengthen.

Timely surgical intervention is critical to improve patient survival and reduce long-term recurrence rates.

  • Non-operative treatment leads to recurrence in 23.5% vs. 8.8% for surgical patients; laparoscopic surgery further lowers recurrence to 7.2%.

Journal Article by Chierici A, Lareyre F (…) Raffort J et 4 al. in Ann Surg

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