Initial Adhesive Small Bowel Obstruction Management Pathway Drives Infectious Complication Occurrence

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Observational audit of SBO management reveals risks for deep surgical site infections and longer hospital stays.

Using non-operative management before surgery for small bowel obstruction may increase deep surgical site infections.
Patients undergoing NOM-T experienced a longer hospital length of stay compared to direct to surgery.
Operative management pathways showed similar rates of overall surgical site infections, but differences in deep infections were noted.
The choice of management pathway can significantly influence patient outcomes and infection rates.

McLaughlin et al. (2025) studied this question.

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