Surgical decisions in the laparoscopic management of small bowel obstruction: report on two cases.
Laparoscopic management of bowel obstruction secondary to adhesions presents a difficult challenge for the general surgeon. The surgical management of two such cases is reported here: one patient with recurrent abdominal pain secondary to partial bowel obstruction, the other with acute small bowel obstruction. Surgical decision-making and technical aspects of the procedures are described. With careful patient selection and meticulous technique laparoscopic resolution of bowel obstruction may be feasible and should be attempted.
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General Surgery Service, United States Air Force (USAF) Hospital, Hill Air Force Base (AFB), Utah 84050, USA.
D015746:Abdominal Pain / Q000601:surgery; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D003657:Decision Making; D004108:Dilatation, Pathologic / Q000601:surgery; D005240:Feasibility Studies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007410:Intestinal Diseases / Q000601:surgery; D007415:Intestinal Obstruction / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods; D008297:Male; D018579:Patient Selection; D012008:Recurrence; D000267:Tissue Adhesions / Q000601:surgery