Evaluation of Role of Laparoscopy in Treatment of Acute Adhesive Intestinal Obstruction

Abstract

Background: Adhesive intestinal obstruction one of the common medical cause of admission in emergency. It is a serious problem lead to gut and gynecological pelvic complication. Imbalance between formation of fibrin and biodegradation is critical in adhesion formation. The advantage of laparoscopy over open surgery is that adhesion is by far less prominent and so the recurrence of adhesion is decreased.Aim of the work: To evaluate the accessibility of using laparoscopy as a safe tool in the management of adhesive intestinal obstruction.Patients and Methods: This study was done in General Surgery Department, Faculty of Medicine, Al-Azhar University [New Damietta] on 20 patients complaining from adhesive intestinal obstruction all of them were managed laparoscopically for removal of adhesions over of six months.Results: The mean operative time was 73.4 min and about 95% of cases completed laparoscopically, the rest of the cases converted to open surgery due to severe adhesion or intraoperative complication.Conclusion: Laparoscopy is safe and effective in management of partial or complete adhesive intestinal obstruction; conversion to open should be considered in severe adhesion.

Keywords

• adhesive intestinal obstruction
• laparoscopic adhesiolysis
• obstruction