Adhesiolysis, how frequently is required following laparoscopic procedures ?

الملخص EN

This study aimed to assess the magnitude of adhesiolysis required to resolve adhesive intestinal obstructions complicating laparoscopic procedures.

A retrospective study of 200 laparoscopic ally managed cases were collected from the records of both, Babil Hospital for gyneco-obstetrics & pediatrics and Hilla Teaching Hospital..They were 163 (81.5%) females, 37 (18.5 %) males these cases were collected from the records of 4 years from May 2000 up to May 2004, then these cases were followed up for 1-5 years from May 2000 up to May 2005 through the records of Hilla Teaching Hospital ..The follow up aim was to record cases that had undergone surgical adhesiolysis to resolve adhesion intestinal obstructions complicating these laparoscopic procedures.

The study included 200 laparoscopic ally managed patients during a period of 4 years.

These 200 cases were distributed among 4 groups; 1st group: 150 laparoscopic ally cholecystectomies patients 120 females (80%), 30 males(20%),2nd group: 20 laparoscopic ally ovarian cystectomies patients, 3rd group: 20 cases of diagnostic laparoscopy females (75%), 5 males (25%), 4th group: 10 laparoscopic ally appendectomies patients 8 females (80%), 2 males (20% ).

The follow up of these cases with regard to developing adhesion intestinal obstruction and undergoing surgical adhesiolysis revealed that none of the cases underwent re-laparoscopy or open surgery for adhesiolysis, apart from 2 cases, both were females, developed adhesion intestinal obstruction but they responded conservatively .According to the information's obtained through direct communication with the managing surgeons inquiring about performing adhesiolysis in the private hospitals to some of their laparoscopic ally managed patients ,no case underwent intestinal adhesiolysis within the study period.

The magnitude of surgical adhesiolysis in the form of re-laparoscopy or conventional surgery that will be required to resolve intestinal adhesions following intraperitoneal laparoscopic procedures is significantly low.