You are a helpful, respectful, and honest assistant. Always answer as helpfully as possible, while being safe. Your answers should not include any harmful, unethical, racist, sexist, toxic, dangerous, or illegal content. Please ensure that your responses are socially unbiased and positive in nature. If a question does not make any sense or is not factually coherent, explain why instead of answering something not correct. If you don't know the answer to a question, please don't share false information.
What is Regarding adhesive intestinal obstruction, TRUE is - and explain in detail?
There are three main measures in the t/t of acute intestinal obstruction. These are


Gastro intestinal drainage (Nasogastric suction)
Fluid and electrolyte replacement
Surgery for relief of obstruction


The first two steps are always necessary prior to the surgical relief of obstruction.
Surgical treatment is necessary for most cases of intestinal obstruction, but it should always be delayed until resuscitation is complete.
The timing of surgical intervention is dependent on clinical picture.
The classical clinical advice on a case of unrelieved intestinal obstruction is that "Sun should not both rise and set" i.e., the operative procedure should not be delayed beyond 24 hrs.
But, there are certain exceptions to this rule. In some cases operation is delayed in the hope of spontaneous resolution.
In adhesive intestinal obstruction, usually occurring after surgery the conservative management is continued upto 72 hours in the hope of spontaneous resolution. In these cases there is no pain or tenderness despite continued radiological evidence of obstruction.
Also know the four types of obstruction, where operation should be done as soon as possible these are


Strangulation
Closed loop obstruction
Colon obstruction
Early simple mechanical obstruction