LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION

Abstract

OBJECTIVE. Improvement of surgical treatment of patients with adhesive intestinal obstruction.MATERIAL AND METHODS. This article shows the analyzing results of surgical treatment of 73 patients with adhesive intestinal obstruction. The main group consisted of patients with adhesive intestinal obstruction; adhesiolysis was performed for them laparoscopically. The comparison group included patients who underwent laparotomy.RESULTS. Conversions to laparotomy were not noted in the main group. There is no significant difference in the number of complications in the compared groups. In the main group, the duration of the operative intervention was significantly less, the level of postoperative pain was lower, the recovery of intestinal peristalsis was faster, the hospital stay was shorter (p<0.05).CONCLUSION. Laparoscopic access in comparison with laparotomy for patients with adhesive intestinal obstruction has several advantages, and can be used in this category of patients.

Keywords

• adhesive intestinal obstruction
• laparoscopy
• adhesiolysis