Stepanian S A, Apoian V T, Abraamian R A, Drampian A F, Mesropian R N
Yerevan State Medical University, Chair of Surgery №2, The Ministry of Health of the Republic of Armenia.
Georgian Med News. 2011 May(194):7-12.
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.
本文介绍了22例（12例男性，10例女性）急性早期术后粘连性小肠梗阻患者的治疗结果。其中16例检测到闭袢性肠梗阻，6例为绞窄性肠梗阻。12例患者通过腹腔镜手术解决了梗阻问题，8例行开腹手术，2例进行了中转手术。4例患者进行了小肠切除术，2例进行了末端肠造口术。从上一次手术到肠梗阻干预的平均时间为11.1±8.0（2 - 30）天。在开腹手术组中观察到以下并发症：肠瘘1例，皮下气肿1例。无死亡病例。在观察期间未观察到肠梗阻复发。腹腔镜粘连松解术创伤极小，这在术后早期尤为重要。
