title: Laparoscopic Management of Adhesive Small Bowel Obstruction.
abstract: BACKGROUND
  Adhesions are the reason for bowel obstruction in 80% of the cases. In well selected patients the adhesive ileus laparoscopic treatment has multiple advantages which include the shorter hospitalization period, earlier food taking, and less postoperative morbidity rate.
  
  
  METHODS
  Here we have a patient in the age of 35 hospitalized at the clinic due to occlusive symptoms. Two years before an opened appendectomy had been performed on him. He underwent the treatment of exploration laparoscopy and laparoscopic adhesiolysis. Dilated small bowel loops connected with the anterior abdominal wall in the ileocecal region by adhesions were found intraoperatively and then resected harmonically with scalpel. One strangulation around which a small bowel loop was wrapped around was found and dissected. Postoperative course was normal.
authors.affiliation: Clinic for Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Ferid
authors.initials: F
authors.lastname: Konjic
authors.affiliation: Clinic for Surgery, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Enes
authors.initials: E
authors.lastname: Idrizovic
authors.affiliation: Clinic for Internal disease, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Ismar
authors.initials: I
authors.lastname: Hasukic
authors.affiliation: Clinic for Cardiovascular disease, University Clinical Center Tuzla, Tuzla, Bosnia and Herzegovina.
authors.forename: Alen
authors.initials: A
authors.lastname: Jahic
keywords: adhesive ileus; laparoscopy