Assessment of Laparoscopy in diagnosis and Management of adhesive intestinal obstruction

Gouda Mohamed El Labban*

Adhesions are a common sequela after abdominal surgery. Adhesions are an important etiology of acute or chronic intestinal obstruction or even chronic pain, and must be suspected as a leading cause of abdominal pain whenever the patient as undergone previous abdominal surgery. The aim of this prospective clinical trial study is to evaluate the use of laparoscopy in management of clinically diagnosed adhesive intestinal obstruction admitted to Suez Canal University Hospital and the criteria of selection to get the best results. Laparoscopy was attempted in 36 patients with intestinal obstruction, and it was successful in 15 cases (the laparoscopic group) with success rate of 41.6 %, and in 21 cases (laparotomy group), it failed to relieve obstruction because of multiple causes. Although laparoscopic adhesiolysis has many potential advantages and is ahead over conventional in minimizing morbidity and operative time and increasing mobility, the most important aspect to a successful outcome is proper patient selection and surgical judgment.

Keywords: Laparoscopy; Adhesiolysis; Adhesions; Small Bowel Obstruction (SBO)

Published on: Feb 15, 2018 Pages: 1-4

Full Text PDF Full Text HTML DOI: 10.17352/aur.000002
CrossMark Publons Harvard Library HOLLIS Search IT Semantic Scholar Get Citation Base Search Scilit OAI-PMH ResearchGate Academic Microsoft GrowKudos Universite de Paris UW Libraries SJSU King Library SJSU King Library NUS Library McGill DET KGL BIBLiOTEK JCU Discovery Universidad De Lima WorldCat VU on WorldCat