Laparoscopy as a method of final diagnosis of acute adhesive small bowel obstruction in a previously unoperated patients
Timofeev, M.E.; Shapoval'iants, S.G.; Fedorov, E.D.; Polushkin, V.G.
Eksperimental'naia i Klinicheskaia Gastroenterologiia 12: 49-55
2014
ISSN/ISBN: 1682-8658 PMID: 26058112 Document Number: 672922
The article presents the use of laparoscopic interventions in 38 patients with Acute Adhesive Small Bowel Obstruction (AASBO) in patients without previous history of abdominal surgery. Clinical, radiological and ultrasound patterns of disease are analyzed. The use of laparoscopy has proved itself the most effective and relatively safe diagnostic procedure. In 14 (36.8%) patients convertion to laparotomy was made due to contraindications for laparoscopy. In 24 (63.2%) patients laparosopic adhesyolisis was performed and AASBO subsequently treated with complications rate of 4.2%.