LAPAROSCOPIC ADHESIOLYSIS AND BARRIER PREVENTION OF ADHESIVE PROCESSES IN THE ABDOMINAL CAVITY

Abstract

The article presents information about research work carried out to clarify the possibility of laparoscopic diagnosis of intestinal obstruction of adhesive origin in the early postoperative period and optimization of adhesiolysis.
In the early postoperative period, 70 patients with intestinal obstruction of the upper gastrointestinal tract were examined and treated. The main group included 46 patients, and the control group included 24. In the main group, laparoscopic surgery was performed for intestinal obstruction of postoperative adhesive origin, and in similar categories of patients included in the control group, an open method - laparotomy - was performed.
The study showed that laparotomy with upper-middle and lower-middle incisions is more likely to cause intestinal obstruction. The sensitivity of preoperative ultrasound diagnostics of mobile viscero-parietal adhesions of small intestine loops is 94.6%, and the sensitivity of laparoscopic diagnostics is 99.2%. Statistical analysis of the parameters of the studied groups revealed that the incidence of intraoperative (p=0.009) and postoperative complications [10.9% and 54.1%; (p=0.006)], mortality rates [0 and 4 (16.6%); p=0.021], and duration of hospital stay [(5.8±2.3 and 14.5±3.4); p=0.045] decreased with the use of minimally invasive technology.