पेरिटोनाइटिस या गला घोंटने के बिना आसंजक छोटी आंत रुकावट — जब गैर-ऑपरेटिव प्रबंधन रुकावट को हल करने में विफल हो गया हो

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.

The panel recommends a trial of non-operative management in all patients with ASBO, unless there are signs of peritonitis, strangulation, or bowel 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.