Possibilities of laparoscopic diagnosis and elimination of acute adhesive intestinal obstruction

Abstract

The study was undertaken to assess the diagnostic and therapeutic possibilities of video laparoscopy and the reasons for the failure of laparoscopic interventions in patients with acute adhesive intestinal obstruction in a city multi-field hospital. A retrospective analysis of laparoscopic interventions in 110 patients is presented. In 14 (12.7%) cases, the study allowed to exclude competing diagnoses and understand the true cause of the disease. In 19 (17.3%) cases, an attempt at laparoscopic diagnosis was unsuccessful. In 28 (25.5%) cases, laparoscopic attempts to eliminate obstruction were ineffective. In 20 (18%) cases after laparoscopic evaluation, a laparotomic method of treatment was immediately selected without attempting laparoscopic adhesiolysis. Laparoscopically, the adhesions that caused the disease were eliminated in 29 (26.4%) cases. At the same time, there is a potential possibility of increasing this indicator by up to 50% with timely laparoscopic intervention (before the development of excessive dilatation of the intestine). In cases where laparoscopic surgery was successful, they had all the advantages of minimally invasive interventions.