Results:
According to our study, relief of pain was faster in the surgical
group(1.66 against 4.57 months) with statistical significance
(p< 0. 001). Relief of symptoms (p< 0.001),
radiological improvement (p= 0.001), and normalizing of inflammatory
markers (p<0.001) were better in the surgical group than in
the medical group. The duration of treatment was an average of 9. 2
months in the surgical group compared to 11.3 months in the medical
group (p= 0.019). Microbial culture from deep tissue sampling was
positive in 24 surgical patients (68.57%).
Conclusion: The treatment response to surgery and
antimicrobials in treating refractory cases of SBO was better than the
group who responded to antimicrobials alone. Surgery provided higher
microbial yield resulting in culture-specific antimicrobials. The
surgical group observed faster relief of symptoms, reduced hospital
stay, and total treatment duration.