[Laparoscopic adhesiolysis - results following prospective surveillance].
BACKGROUND
About 90 % of the patients have abdominal surgery develop adhesions afterward. Studies analyzing complications and follow-up even in emergency cases are rare.


METHODS
Intra- and postoperative findings and complications and follow-up were analyzed in a prospective trial between January 1994 and June 1998.


RESULTS
We performed laparoscopic procedures in 56 patients with complaints of obstructing adhesive bands or adhesions. Ninety-six percent of the patients have had abdominal surgery; 51.8 % were treated as emergency cases with acute pain, 48.2 % with chronic abdominal pain. Intraoperatively, 37.5 % of the patients showed single adhesive bands; 62.5 % showed adhesions. Mean operation time was 60 min, conversion rate: 5.4 %. Complications were recorded according to the "Cologne classification": class I: 78.6 %, class II: 8.9 %, class III: 1.8 %, class IV: 10.8 %, class V: 0 %. The postoperative hospital stay was 6 days on average.


CONCLUSIONS
Our study suggests that laparoscopic adhesiolysis can be done safely in emergency cases and in patients with extensive adhesions as well.
Schenk
C
C
Abteilung für Chirurgie (Leitender Arzt: Priv.-Doz. Dr. F. Glaser), Filderklinik, Filderstadt. billroth3@aol.com
Scheuerecker
H
H
Glaser
F
F
D000005:Abdomen / Q000601:surgery*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D004630:Emergencies; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery*; D011446:Prospective Studies; D013997:Time Factors; D000267:Tissue Adhesions / Q000601:surgery*