[Long-term results of surgical treatment of commissural intestinal obstruction]

Long-term results of operations for acute commissural intestinal obstruction (ACIO) were studied in 128 patients 2 to 10 years after surgery. Only patients with uncomplicated forms of ACIO (without intestinal necrosis and generalized peritonitis) have been included into the analysis. The results of the treatment were assessed both in the group and individually after 87 operations of total adheolysis and 39 cases of partial comissurotomies. Clinical symptoms of abdominal commissures after elimination of ACIO were seen in 44.2% patients, including recurrence of ileus in 20.3% patients. Interintestinal commissures and conglomerations were the causes of ACIO in 44.5% cases that should be taken into account at adheolysis made laparoscopically. It is demonstrated that long-term results of ACIO treatment depend on surgical trauma and associated recurrence of adhesive process.