To explore the susceptible factors of abdominal wall incisional hernia complicated with intestinal obstruction and its prevention and control measures.

52 patients with incisional hernia admitted to Gansu provincial people's hospital from February 2013 to October 2018 were selected as the research objects. Their clinical data were retrospectively analyzed. According to whether the patients complicated with intestinal obstruction after operation, they were divided into intestinal obstruction group (n=30) and no intestinal obstruction group (n=22). The general data and perioperative indexes of the two groups were compared, the susceptible factors of intestinal obstruction were screened out and the preventive and therapeutic measures were summarized.

There were differences in gender, acute and chronic bronchitis and prostatitis between intestinal obstruction group and no intestinal obstruction group. There was no significant difference between the 2 groups in terms of age, type of surgery, preoperative nutritional status, type of incision, type of healing, complicated with ascites and constipation (P>0.05). In the patients with intestinal obstruction, the disappearance time of abdominal pain was (3.40±1.78) days, the disappearance time of abdominal distension was (4.24±1.57) days, the exhaust time was (5.96±1.61) days, the time of fluid intake was (6.95±2.02) days, the gastrointestinal decompression and drainage flow was (315.21±106.52) ml/day, and the average hospitalization time was (14.59±2.63) days.

The susceptible factors of abdominal incisional hernia complicated with intestinal obstruction were male, complicated with acute and chronic bronchitis or prostatitis, but the symptoms and signs of patients with intestinal obstruction were significantly improved after timely intervention treatment. It is suggested that the key to prevent and treat intestinal obstruction is to pay attention to the control of susceptible factors and to give treatment as early as possible.