Laparoscopic Management of Acute Intestinal Obstruction
نویسنده
چکیده
Background: With the beginning of laparoscopic era at the end of last century acute intestinal obstruction was one of relative contraindication of laparoscopy; however, with development of minimal invasive surgeries new vision was born for the use of laparoscopy in the management of acute intestinal obstruction. Aim of the study: This study aiming to evaluate the role of laparoscopy in management of acute intestinal obstruction as regard indication, technique, contraindication and complication. Material and methods: A systematic literature search was carried out using the Medline database and the search terms ‘‘laparoscopy’’ or ‘‘laparoscopic approach’’ and ‘‘bowel obstruction.’’ Only adult studies published in English between 1990 and 2016 were included. Studies were excluded if data specific to outcomes for laparoscopic management of acute intestinal obstruction could not be extracted. Conclusion: Laparoscopy is safe and effective tool for the management of acute intestinal obstruction provided if it performed by skilled surgeons and in selected patients.
منابع مشابه
Laparoscopic management of small bowel obstruction with associated intestinal ischemia
Obstruction is the most common surgical disorder of the small bowel. Complete small bowel obstruction (SBO) is usually treated surgically because bowel strangulation cannot be excluded with certainty. Acute SBO has been previously considered a relative contraindication for laparoscopic management especially due to the laparotomy conversion rate. We present a case of SBO for which laparoscopic m...
متن کاملLaparoscopic Management as the Initial Treatment of Acute Small Bowel Obstruction
OBJECTIVES We prospectively evaluated our experience with laparoscopic management of acute small bowel obstruction (SBO). METHODS The study group included all patients requiring surgical intervention based on complete mechanical SBO by clinical assessment or who had failed conservative management. Patients with malignant causes were excluded. Experienced laparoscopic surgeons performed all op...
متن کاملAcute appendicitis as a rare cause of mechanical small bowel obstruction case report
Acute appendicitis is the most common surgical condition with which patients present in emergency departments worldwide. It is also a rare cause of intestinal obstruction. Here, we report a case of a 53-year-old man who presented with a clinical picture of mechanical small bowel obstruction. Leucocytosis was not demonstrated on the routine blood investigation in our case, in contrast to the fin...
متن کاملLaparoscopic Management of Obstructing Small Bowel GIST Tumor
BACKGROUND Gastrointestinal stromal (GIST) tumors make <1% of all gastrointestinal neoplasms and 20% of small bowel neoplasms. The most common acute presenting symptom of these tumors is gastrointestinal hemorrhage with obstruction being rare. We discuss our laparoscopic approach to 2 patients with small bowel GIST tumors that presented to our institution with obstruction of the small bowel. ...
متن کاملLaparoscopic Adhesiolysis in Acute Small Bowel Obstruction: A Preliminary Experience
OBJECTIVE The aim of this study is to evaluate laparoscopy as another tool for management of cases of adhesive acute small bowel obstruction. METHODS Fourteen patients suffering from suspected adhesive small bowel obstruction were explored laparoscopically over a period of 24 months. The Veress needle was inserted either in a virgin part of the abdomen away from previous scars or under direct...
متن کامل