Background: Acute intestinal obstruction (AIO) is a common surgical emergency as encountered throughout the world with high morbidity. A thorough careful history taking, physical examination and relevant investigations play the major role in planning of treatment and estimation of patient prognosis. Acute and chronic intestinal obstruction due to bands & adhesions following laparotomy for benign and malignant diseases frequently admitted in the hospital. After resuscitation, some patients response to conservative management but some need intervention. Outcome of management depend on some factors such as age, previous illness, type of previous surgery,