Keywords
abdominal adhesions
improvement of diagnostic and treatment methods
How to Cite
Abstract
This article is devoted to the search for ways to improve the diagnosis and treatment of acute adhesive intestinal obstruction. Based on the studies carried out, we proved that to improve the results of surgical treatment of acute adhesive intestinal obstruction, it is necessary to reduce the time of delivery of patients to the hospital, to increase the use of X-ray and endoscopic methods of examination, to improve the technique of surgical and anaesthetic aid. Laparoscopic adhesiolysis in acute adhesive intestinal obstruction makes it possible to activate patients early, reduce the duration of inpatient treatment and the need for medications, and reduce the risk of developing abdominal adhesions. Laparoscopic adhesiolysis should be performed according to strict indications by experienced surgeons, with careful observance of all the technical details of the intervention. The main risk factors for lethal outcomes in acute adhesive intestinal obstruction are late surgical intervention and postoperative complications due to both the severity of the patient's condition and the imperfection of surgical technique.
References
Bidwell L.A. Two Cases of Acute Intestinal Obstruction due to Adhesions, in one of which Enterectomy and Anastomosis by Maunsell's Method were Performed. // Br Med J. 2017;1:1151-2.
Branham J.H. VIII. Intestinal Obstruction from Strangulation by an Adhesion Band; Recovery after Laparotomy. // Ann Surg. 2014 Jul;20(1):59-62.
Dor J. Traitement des sténoses chroniques de l'intestin grêle par adhérences multiples (en bloc) post-operatoires, avec ou sans fistule stercorale ou pyostercorale, en dehors des périodes d'occlusion [Treatment of chronic stenoses of the small intestine by multiple post-operative (en bloc) adhesions, with or without stercoral or pyostercoral fistula, outside the occlusion periods]. // Sud Med Chir. 2015;77:355-63. French.
Schwartz A.R. Mesenteric bands producing intestinal obstruction in a three-day-old infant with recovery. // Arch Pediatr (N Y). 2016;63:317-9.
Hamlin E.Jr., lingley J.R. Strangulated small intestine due to an adhesive band. // N. Engl. J. Med. 2016;235:307-9.
Golden R. Some problems in abnormal intestinal physiology associated with peritoneal adhesions and ileus. // Am. J. Roentgenol Radium Ther. 2020;56(5):555-68.
Forty F. Obstruction by peritoneal bands without previous operation. // Clin J. 2021;75(6):211-6.
Hunt C.J. Early indications of adhesive small bowel obstruction. // Am. J. Surg. 2021;72(6):865-8.
Dalgarno M., Puckey S., Nelson M. Duodenal obstruction due to peritoneal bands. // Med. J. Aust. 2018;1(13):414.
Elzeneiny Y. A case of complete chronic volvulus of the small gut, with visceroptosis and visceral adhesions. // J. Egypt. Med. Assoc. 2017;31(5):479.