ABSTRACT

Background Post abdominal surgery adhesions form a total of 65% of the total acute small bowel obstruction cases. Open technique is equivalent to the previously established techniques for adhesiolysis, the laparoscopic techniques have become better-known. Methods A retrospective study was performed from previously established records from reports of sufferers who were managed operatively for adhesive small bowel obstruction from January 2018 to May 2021. After surgery effects comparing open against laparoscopic technique were looked into. An intention-to-deal with evaluation changed into performed. The motive of this have a look at changed into to definitively infer if laparoscpic technique of bowel adhesiolysis trumped open technique. Results 250 patients operated on for adhesive small intestinal obstruction have been included. 175 (70%) and 75 (30%) sufferers, respectively, were operated by open and laparoscopic techniques. The rate of conversion was found to be 38.5%. Patients who underwent laparoscopy were more youthful p<0.001, and had not many bowel surgery p=0.001, A smaller ASA grade p<0.001 and uncomplicated adhesions were noted p=0.001. Open technique took longer to operate p=0.0045. Laparoscopic adhesiolysis was cheaper (42% vs. 68%, p<0.00, lessened death rate p=0.027, early breaking of nil per oral p<0.001 and shorter indoor stay p<0.001. Specific evaluation of patients with a single band and / or internal hernia who did, now no longer required bowel resection, additionally were found with few problems, in early breaking of nil per oral and extra hospitalization. The open technique was found to have more complications as against the laparoscopic variant (odds ratio = 2.9; 95% CI 1.1–7.3; p = 0. 03). Conclusions Laparoscopic method of bowel adhesiolysis has superior final results over open technique Laparoscopic control of adhesiolysis in small bowel obstruction is viable and effective. The laparoscopy technique improves effects and recovery.
Publication date: 15/02/2022

https://ijbpas.com/pdf/2022/February/MS_IJBPAS_2022_FEB_SPCL_1011.pdf

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https://doi.org/10.31032/IJBPAS/2022/11.2.1011