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Laparoscopic adhesiolysis for bowel obstruction, preliminary results
Other Title(s)
دور المنظار الجراحي في علاج التصاقات الأمعاء المتكررة الناتجة عن العمليات الجراحية
Joint Authors
Uways, Muhammad Qurani
Ibrahim, Ibrahim Ali
Uthman, Muhammad Abd al-Qadir
Ḥasanayn, Mustafa Abd al-Ghafur
Source
Issue
Vol. 30, Issue 2 (31 May. 2006), pp.31-36, 6 p.
Publisher
Assiut University Faculty of Medicine
Publication Date
2006-05-31
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Topics
Abstract EN
BACKGROUND: Recurrent small bowel obstruction caused by postoperative adhesions has traditionally been treated by conventional laparotomy, but laparoscopic management of acute small bowel obstruction has been demonstrated.
Our aim was to evaluate the feasibility of a laparoscopic as a minimal access approach for the management of patients with recurrent adhesive intestinal obstruction.
METHODS: After conservative treatment, elective laparoscopic treatment was attempted in 22 patients hospitalized for recurrent small bowel obstruction after abdominal surgery.
RESULTS: the sites of postoperative adhesions were identified laparoscopically in all patients.
Complete laparoscopic adhesiolysis was feasible in 17 patients (77.3%), while conversion to laparotomy was required for 5 patients (22 7%) due to iatrogenic intestinal injury during adhesiolysis (one patient) or technical difficulties due to adhesion (in four patients).
The mean operating time was 95 minutes.
Long-term follow-up was possible in three patients for 27 months.
One recurrence of small bowel obstructions was noted after 7 months.
No available data was obtained (in two patients).
CONCLUSIONS: Laparoscopic adhesiolysis is a safe and effective treatment for recurrent small bowel obstruction.
Conversion to laparotomy should be considered in patients with dense adhesions.
American Psychological Association (APA)
Uthman, Muhammad Abd al-Qadir& Uways, Muhammad Qurani& Ibrahim, Ibrahim Ali& Ḥasanayn, Mustafa Abd al-Ghafur. 2006. Laparoscopic adhesiolysis for bowel obstruction, preliminary results. Assiut Medical Journal،Vol. 30, no. 2, pp.31-36.
https://search.emarefa.net/detail/BIM-44020
Modern Language Association (MLA)
Uthman, Muhammad Abd al-Qadir…[et al.]. Laparoscopic adhesiolysis for bowel obstruction, preliminary results. Assiut Medical Journal Vol. 30, no. 2(May 2006), pp.31-36.
https://search.emarefa.net/detail/BIM-44020
American Medical Association (AMA)
Uthman, Muhammad Abd al-Qadir& Uways, Muhammad Qurani& Ibrahim, Ibrahim Ali& Ḥasanayn, Mustafa Abd al-Ghafur. Laparoscopic adhesiolysis for bowel obstruction, preliminary results. Assiut Medical Journal. 2006. Vol. 30, no. 2, pp.31-36.
https://search.emarefa.net/detail/BIM-44020
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references : p. 35
Record ID
BIM-44020