[Diagnosis and treatment of acute adhesive small intestine obstruction].
Experience of treatment of 162 patients with acute adhesive intestinal obstruction (AAIO) is described. These patients had most often (23.3%) appendectomy in anamnesis. Conservative treatment was effective in 23 (14.2%) patients only. Surgical treatment was performed in 139 (85.8%) patients including traditional open operation in 79 (56.8%) patients, laparoscopic and laparoscopy-assisted in 60 (43.2%). Advanced adhesive process with formation of single intestinal conglomerate, neglected forms of AAIO with paralytic ileus were indications to open operations; lethality in these operations was 17.7%. Laparoscopic operation was indicated in AAIO due to isolated commissure as well as in early adhesive obstruction; lethality was 1.7%. If diagnostic laparoscopy showed that AAIO is caused by intestinal deformation in small intestinal conglomerate or intestinal resection is required, laparoscopy-assisted operations were performed.
Kriger
A G
AG
Andreĭtsev
I L
IL
Gorskiĭ
V A
VA
Berelavichus
S V
SV
Makarova
E E
EE
D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D007049:Iatrogenic Disease; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D007421:Intestine, Small / Q000601:surgery*; D010535:Laparoscopy; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications; D000267:Tissue Adhesions / Q000150:complications / Q000209:etiology / Q000601:surgery
Diagnostika i lechenie ostroĭ spaechnoĭ tonkokishechnoĭ neprokhodimosti.