[Treatment of early postoperative adhesive small bowel obstruction]

The results of treatment of 22 patients (12 men, 10 women) with acute early postoperative adhesive small bowel obstruction are presented. Obturation was detected in 16, strangulation - in 6 cases. In 12 patients obstruction was solved laparoscopically, in 8 patients laparotomy was performed, in two cases conversion was done. In 4 patients resection of the small intestine was done, in two instances terminal enterostomy was made. The average period passed from the previous operation till the intervention for bowel obstruction was 11,1 ± 8,0 (2-30) days. In the laparotomy group the following complications were observed: enteric fistulas - 1 patient, subcutaneous eventration - 1 patient. There was no mortality. During the period of observation no recurrence of intestinal obstruction was observed. Laparoscopic adhesiolysis provides minimal trauma, which is especially important in the early postoperative period.