LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION

OBJECTIVE. Improvement of surgical treatment of patients with adhesive intestinal obstruction.MATERIAL AND METHODS. This article shows the analyzing results of surgical treatment of 73 patients with adhesive intestinal obstruction. The main group consisted of patients with adhesive intestinal obstru...

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Main Authors: S. V. Tarasenko, O. V. Zaitsev, P. V. Sokolov, A. A. Natalsky, S. Yu. Prus, T. S. Rakhmaev, A. Yu. Bogomolov, I. V. Kulikova
Format: Article
Language:Russian
Published: Pavlov First Saint Petersburg State Medical University 2018-04-01
Series:Вестник хирургии имени И.И. Грекова
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Online Access:https://www.vestnik-grekova.ru/jour/article/view/862
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author S. V. Tarasenko
O. V. Zaitsev
P. V. Sokolov
A. A. Natalsky
S. Yu. Prus
T. S. Rakhmaev
A. Yu. Bogomolov
I. V. Kulikova
author_facet S. V. Tarasenko
O. V. Zaitsev
P. V. Sokolov
A. A. Natalsky
S. Yu. Prus
T. S. Rakhmaev
A. Yu. Bogomolov
I. V. Kulikova
author_sort S. V. Tarasenko
collection DOAJ
description OBJECTIVE. Improvement of surgical treatment of patients with adhesive intestinal obstruction.MATERIAL AND METHODS. This article shows the analyzing results of surgical treatment of 73 patients with adhesive intestinal obstruction. The main group consisted of patients with adhesive intestinal obstruction; adhesiolysis was performed for them laparoscopically. The comparison group included patients who underwent laparotomy.RESULTS. Conversions to laparotomy were not noted in the main group. There is no significant difference in the number of complications in the compared groups. In the main group, the duration of the operative intervention was significantly less, the level of postoperative pain was lower, the recovery of intestinal peristalsis was faster, the hospital stay was shorter (p<0.05).CONCLUSION. Laparoscopic access in comparison with laparotomy for patients with adhesive intestinal obstruction has several advantages, and can be used in this category of patients.
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spelling doaj.art-be14be374f3441f080d9f4b367e0736c2023-03-13T08:09:16ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252018-04-011772303310.24884/0042-4625-2018-177-2-30-33838LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTIONS. V. Tarasenko0O. V. Zaitsev1P. V. Sokolov2A. A. Natalsky3S. Yu. Prus4T. S. Rakhmaev5A. Yu. Bogomolov6I. V. Kulikova7Federal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationFederal State Budgeraty Educational Institution of Higher Education «I.P. Pavlov Ryazan State Medical University» of the Ministry of Healthcare of the Russian FederationOBJECTIVE. Improvement of surgical treatment of patients with adhesive intestinal obstruction.MATERIAL AND METHODS. This article shows the analyzing results of surgical treatment of 73 patients with adhesive intestinal obstruction. The main group consisted of patients with adhesive intestinal obstruction; adhesiolysis was performed for them laparoscopically. The comparison group included patients who underwent laparotomy.RESULTS. Conversions to laparotomy were not noted in the main group. There is no significant difference in the number of complications in the compared groups. In the main group, the duration of the operative intervention was significantly less, the level of postoperative pain was lower, the recovery of intestinal peristalsis was faster, the hospital stay was shorter (p<0.05).CONCLUSION. Laparoscopic access in comparison with laparotomy for patients with adhesive intestinal obstruction has several advantages, and can be used in this category of patients.https://www.vestnik-grekova.ru/jour/article/view/862adhesive intestinal obstructionlaparoscopyadhesiolysis
spellingShingle S. V. Tarasenko
O. V. Zaitsev
P. V. Sokolov
A. A. Natalsky
S. Yu. Prus
T. S. Rakhmaev
A. Yu. Bogomolov
I. V. Kulikova
LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
Вестник хирургии имени И.И. Грекова
adhesive intestinal obstruction
laparoscopy
adhesiolysis
title LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
title_full LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
title_fullStr LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
title_full_unstemmed LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
title_short LAPAROSCOPIC ACCESS IN THE TREATMENT OF ADHESIVE INTESTINAL OBSTRUCTION
title_sort laparoscopic access in the treatment of adhesive intestinal obstruction
topic adhesive intestinal obstruction
laparoscopy
adhesiolysis
url https://www.vestnik-grekova.ru/jour/article/view/862
work_keys_str_mv AT svtarasenko laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT ovzaitsev laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT pvsokolov laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT aanatalsky laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT syuprus laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT tsrakhmaev laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT ayubogomolov laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction
AT ivkulikova laparoscopicaccessinthetreatmentofadhesiveintestinalobstruction