Individualization of the best approach for adhesive small bowel obstruction.

Background: Laparoscopic postoperatives outcomes in adhesiolysis are promising but conversion and morbidity remains high. The objective of our study was to determine preoperative factors to individualize and select the most appropriate approach for each patient.

Methods: Patients ≥18 years old undergoing emergent surgery for adhesive small bowel obstruction and internal hernias were evaluated.

The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction.

Background: Postoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.

Methods: A retrospective study with data from a prospectively maintained data base of all patients undergoing surgical treatment for adhesive small bowel obstruction (ASBO) from January 2007 to May 2016 was conducted.

Results of a laparoscopic approach for the treatment of acute small bowel obstruction due to adhesions and internal hernias.

Introduction: Laparotomy is the standard approach for the surgical treatment of acute small bowel obstruction (ASBO).

Patients And Methods: From February 2007 to May 2012 we prospectively recorded all patients operated by laparoscopy in our hospital because of ASBO due to adhesions (27 cases) and/or internal hernia (6 cases). A preoperative abdominal CT was performed in all cases.