انسداد الأمعاء الدقيقة الالتصاقي: البروتوكول الجراحي عند فشل العلاج غير الجراحي

References

DOI: 10.1186/s13017-018-0185-2

• Non-operative management should always be tried in patients with adhesive small bowel obstruction, unless there are signs of peritonitis, strangulation, or bowel ischemia.
• Contraindications for non-operative treatment include peritonitis, strangulation, and ischemia.
• When operative treatment is required, a laparoscopic approach may be beneficial for selected cases of simple ASBO.
• Farinella et al. reported that predictors for a successful laparoscopic treatment of ASBO are the following: ≤ 2 laparotomies in history, appendectomy as the operation in history, no previous median laparotomy incision, and a single adhesive band.