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Corresponding Author

Abd Ellatif, Fathy

Document Type

Original Article

Abstract

Background: Bowel obstruction is a common surgery disease. The causes leading to bowel obstruction can be divided into mechanical and non-mechanical categories, among which the mechanical obstruction is the most common. Objectives: The aim of our study was to assess the role of laparoscopic adhesiolysis in treatment of patients with recurrent attacks of adhesive intestinal obstruction. Patients and methods: Our study included 20 patients diagnosed with adhesive intestinal obstruction and underwent diagnostic laparoscopy in in general surgery department at Al-Azhar University Hospitals and Damanhour Medical National Institute. Results: In our study, mean operative time was 93.42 ± 24.67 min, and mean hospital stay was 3.85 ± 4.46 days. Adhesiolysis was successfully done by laparoscopy in 95% of the patients. Also Majority of the patients had no complications (80%) however, the most common complication was prolonged postoperative ileus (10%). One patient was converted to laparotomy. Conclusion: Laparoscopic adhesiolysis for recurrent postoperative adhesive bowel obstruction is feasible and safe, with a high success rate in experienced hands and results in minimal perioperative morbidity.

Keywords

Bowel obstruction; postoperative ileus; adhesiolysis; Adhesive intestinal

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