Abstract
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.
Highlights
Federal State Budgeraty Educational Institution of Higher Education «I.P
The main group consisted of patients with adhesive intestinal obstruction; adhesiolysis was performed for them laparoscopically
There is no significant difference in the number of complications in the compared groups
Summary
Федеральное государственное бюджетное образовательное учреждение высшего образования «Рязанский государственный медицинский университет имени академика И. П. Павлова» Министерства здравоохранения Российской Федерации, г. Улучшение хирургического лечения больных со спаечной кишечной непроходимостью. В группу сравнения вошли пациенты, которым выполнена лапаротомия. Конверсий в лапаротомию в основной группе не отмечено. Нет достоверной разницы в количестве осложнений в сравниваемых группах. В основной группе продолжительность оперативного вмешательства была значительно меньше, уровень послеоперационной боли ниже, отмечены более быстрое восстановление перистальтики кишечника, меньшие сроки пребывания в стационаре. Лапароскопический доступ в сравнении с лапаротомией обладает рядом преимуществ и может быть применен при спаечной кишечной непроходимости.
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