title: [Laparoscopic diagnosis and treatment of early adhesive small bowel obstruction after gynecological surgery].
abstract: It is presented the results of diagnostic and curative laparoscopic interventions in 33 patients with acute early adhesive small bowel obstruction. Ileus developed after surgical treatment (laparotomy) of different gynecological diseases. Laparoscopy appeared as the most informative diagnostic method to confirm diagnosis in all patients, to estimate state of abdominal cavity and small pelvis organs what can help to determine method of surgical treatment. Contraindications for laparoscopic surgery were identified in 12 (36.4%) patients and conversion to laparotomy was applied in this group. Postoperative complications were diagnosed in 1 (8.3%) patient. 2 (16.6%) patients died. Early adhesive ileus was resolved laparoscopically in 21 (63.6%) of 33 patients. Recurrent acute early adhesive ileus was detected in 1 (4.7%) patient.
authors.affiliation: Chair of Hospital Surgery #2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy; City Clinical Hospital #31.
authors.forename: M E
authors.initials: ME
authors.lastname: Timofeev
authors.affiliation: Chair of Obstetrics and Gynecology, Faculty of Pediatrics, N.I. Pirogov Russian National Research Medical University; City Clinical Hospital #31.
authors.forename: V G
authors.initials: VG
authors.lastname: Breusenko
authors.affiliation: Chair of Hospital Surgery #2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy; City Clinical Hospital #31.
authors.forename: S G
authors.initials: SG
authors.lastname: Shapoval'yants
authors.affiliation: Chair of Hospital Surgery #2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy; City Clinical Hospital #31.
authors.forename: E D
authors.initials: ED
authors.lastname: Fedorov
authors.affiliation: Chair of Hospital Surgery #2 with the Research Laboratory of Surgical Gastroenterology and Endoscopy; City Clinical Hospital #31.
authors.forename: S E
authors.initials: SE
authors.lastname: Larichev
authors.affiliation: Peoples' Friendship University of Russia, Moscow.
authors.forename: V N
authors.initials: VN
authors.lastname: Kretsu
mesh_terms: D034841:Abdominal Cavity / Q000473:pathology / Q000601:surgery; D000328:Adult; D005260:Female; D005831:Genital Diseases, Female / Q000601:surgery; D013509:Gynecologic Surgical Procedures / Q000009:adverse effects* / Q000379:methods; D006801:Humans; D007415:Intestinal Obstruction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology / Q000601:surgery; D010535:Laparoscopy / Q000379:methods*; D007813:Laparotomy / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D009031:Moscow; D011183:Postoperative Complications / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D012008:Recurrence; D012189:Retrospective Studies; D000267:Tissue Adhesions / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D016896:Treatment Outcome