Introduction: Postoperative adhesions are the most common cause of mechanical SBO, which cause extrinsic compression of the intestine. Malignant tumors or strictures of the small bowel can cause intrinsic blockage and are the second leading cause of SBO. Hernias cause extrinsic compression and are the third most common cause of SBO.

Methodology: All patients are subjected to required preoperative biochemical investigations. Plain X-ray erect abdomen was carried out in almost all patients except in obstructed inguinal hernias. Ultrasonography of abdomen was done in some cases whose diagnosis by X-ray was in conclusive.

Results: Release of adhesions and bands was done in 22 cases. Resection and end-to-end anastomosis was done in 16 cases, which included cases of intussuception, adhesions, stricture, ileocaecal growth, colonic growth. In cases of hernia with strangulation and gangrene of bowel; resection and repair of hernia was done depending upon the type i.e., Bassini’s repair in inguinal, Lotheissen operation in femoral hernia.

Conclusion: Morbidity was due to anastomotic leak, would infection, chest infection and wound dehiscence.