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Surgical Endoscopy

Published in:

01-04-2004 | Original article

Laparoscopic approach to postoperative adhesive obstruction

Authors: G. Borzellino, S. Tasselli, G. Zerman, C. Pedrazzani, G. Manzoni

Published in: Surgical Endoscopy | Issue 4/2004

Abstract

Background

Some authors have assessed the feasibility of laparoscopy in the treatment of postoperative adhesive obstruction, but conclusions about its effectiveness are related to different selection criteria used for surgery. This paper reports on our experience in laparoscopic adhesiolysis and analyses the results on the basis of the selection criteria used.

Methods

From January 1993 to December 2001, 65 patients were submitted to laparoscopic adhesiolysis for small bowel obstruction according to specific selection criteria. Of the 65 patients, 40 were admitted for acute obstruction and 25 for chronic or recurrent transit disturbances. Correlation between historical and clinical data and the results of surgical treatment were statistically analyzed.

Results

The procedure was completed by laparoscopy in 52 patients (conversion rate: 20%). Mean postoperative stay was 4.4 days with a 12.3% morbidity and no mortality. Recurrence rate was 15.4%; a single correlation was found between recurrence and age.

Conclusions

Laparoscopic adhesiolysis in the treatment of small bowel obstructions seems to be effective; further studies are required to define selection criteria for surgery and confirm real advantages in terms of recurrences.

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Title: Laparoscopic approach to postoperative adhesive obstruction
Authors: G. Borzellino
S. Tasselli
G. Zerman
C. Pedrazzani
G. Manzoni
Publication date: 01-04-2004
Publisher: Springer-Verlag
Published in: Surgical Endoscopy / Issue 4/2004
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI: https://doi.org/10.1007/s00464-003-9106-9

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Laparoscopic approach to postoperative adhesive obstruction

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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