ABSTRACT
The article presents our experience with using antiadhesive means "Seprafilm", "Interceed" and "Adept" in patients with abdominal adhesive disease. "Seprafilm" was applied in 18 patients, among them 13 underwent laparoscopic and 5 open adhesiolysis. Liquid antiadhesive barrier "Adept" was used in 53 patients (in 33--laparoscopically and in 20--by laparotomy). "Interceed" mesh was used in 16 patients in open adhesiolysis. The combination of laparoscopy and antiadhesive barrier allows receiving good results by minimization of the operative trauma and influencing the process of adhesion formation. During laparoscopic interventions the application of liquid antiadhesive means is technically more convenient.
Subject(s)
Cellulose, Oxidized/therapeutic use , Peritoneum/surgery , Prostheses and Implants/adverse effects , Tissue Adhesions/prevention & control , Female , Humans , Male , Postoperative Complications/prevention & controlABSTRACT
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.
