Laparoscopic Management of Acute Small Bowel Obstruction. Experience from a Saudi Teaching Hospital

Overview

Journal Surg Endosc

Publisher Springer

Specialties Gastroenterology
General Surgery
Radiology

Date 2000 Feb 5

PMID 10656951

Citations 19

Authors

A A Al-Mulhim

Affiliations

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Abstract

Background: The use of laparoscopy has expanded to include the management of acute abdomen. This study describes the author's experience with laparoscopic management of acute small bowel obstruction.

Methods: From February 1994 through March 1998, 19 patients underwent laparoscopic intervention for acute small bowel obstruction. Their clinical data were analyzed to evaluate the outcome.

Results: A total of 19 patients underwent 20 exploratory laparoscopies. The cause of obstruction was diagnosed correctly in 17 of the patients (90%). Fifteen patients (79%) had adhesions, nine of which were postoperative. Of the 19 patients, 13 (68%) had successful laparoscopic treatment. Laparotomy was required in six patients (32%) for various lesions including ileocecal tuberculosis. The average time for laparoscopy was 58 min. The mean postoperative hospital stay was 5 days. There was no morbidity or mortality in this series.

Conclusions: Laparoscopy is a feasible and safe alternative to laparotomy for most patients with acute small bowel obstruction.

Citing Articles

Adhesive small bowel obstruction: predictive factors of laparoscopic failure.

Morelli M, Strambi S, Cremonini C, Musetti S, Tonerini M, Coccolini F Updates Surg. 2023; 76(2):705-712.

PMID: 38151681 DOI: 10.1007/s13304-023-01725-y.

Adhesive Small Bowel Obstruction due to Pelvic Inflammatory Disease: A Case Report.

Al-Ghassab R, Tanveer S, Al-Lababidi N, Zakaria H, Al-Mulhim A Saudi J Med Med Sci. 2019; 6(1):40-42.

PMID: 30787816 PMC: 6196681. DOI: 10.4103/sjmms.sjmms_10_17.

Diagnosis and Treatment of Small Bowel Strangulation Due To Congenital Band: Three Cases of Congenital Band in Adults Lacking a History of Trauma or Surgery.

Nicolas G, Kfoury T, Shimlati R, Koury E, Tohmeh M, Gharios E Am J Case Rep. 2016; 17:712-719.

PMID: 27713389 PMC: 5058432. DOI: 10.12659/ajcr.899664.

The role of laparoscopy in the management of acute small-bowel obstruction: a review of over 2,000 cases.

OConnor D, Winter D Surg Endosc. 2011; 26(1):12-7.

PMID: 21898013 DOI: 10.1007/s00464-011-1885-9.

Laparoscopy for benign colorectal diseases.

Shin T, Rafferty J Clin Colon Rectal Surg. 2011; 23(1):42-50.

PMID: 21286290 PMC: 2850166. DOI: 10.1055/s-0030-1247857.