[Laparoscopic adhesiolysis in the treatment of acute adhesive obstruction of the small intestine].

The results of operative treatment of 59 patients, suffering an acute adhesive ileus of small intestine (ISI), are presented. In 28 patients obturation ileus was diagnosed intraoperatively and in 31 - the strangulation one. In 14 patients an early postoperative adhesive ISI was noted. In all of them diagnostic laparoscopy was used. In 45 patients ISI was eliminated, using laparoscopic method, in 14--the conversion was performed, including the small intestine resection in 8 of them. One patient died (lethality 1.7%). In one patient the adhesive ISI recurrence have occurred in 8 months after laparoscopic adhesiolysis performance. Minimal trauma, short duration of the operation, good cosmetic results, uncomplicated course of postoperative period witnesses the efficacy of laparoscopic adhesiolysis in the treatment of an acute adhesive ISI.