Acta Scientific Clinical Case Reports

Case Report Volume 2 Issue 8

Early Laparoscopic Management in the Setting of Non-Complicated Obstructive Abdomen. Case Report

Xavier Guarderas C1*, Juan C Santillán A2, Stefany A Santamaría S2, Fernando Huilca L3, Edwin Caiza S3, Cristian Merino L3, David Narváez S3 and Claudia Delgado G4*

1Hospital Vozandes Quito, General Surgery Attending, Quito, Ecuador
2Hospital Vozandes Quito, PGY-4 General Surgery, Quito, Ecuador
3Hospital Vozandes Quito, PGY-3 General Surgery, Quito, Ecuador
4Hospital Vozandes Quito, Medical Resident, Quito, Ecuador

*Corresponding Author: Claudia Delgado G, Medical Doctor from Universidad Internacional del Ecuador, Facultad de Ciencias Médicas de la Salud y la Vida, Escuela de Medicina, Quito, Ecuador.

Received: July 14, 2021; Published: July 30, 2021

Citation: Claudia Delgado G., et al. “Early Laparoscopic Management in the Setting of Non-Complicated Obstructive Abdomen. Case Report". Acta Scientific Clinical Case Reports 2.8 (2021): 91-95.


Importance: The adhesive small bowel obstruction (ASBO) is one of the most common causes for hospital admission to surgical service. About one of every six surgical emergencies is caused by ASBO. This pathology can cause high morbidity, generating long-stay hospitalizations, (an average of 8 days when conservative treatment is started), and between 20 - 30% of them will require surgical management. We present the early use of laparoscopy and adhesiolysis for ASBO in a 63-year-old patient who came to the emergency department with several abdominal surgical history.

   There is much controversy regarding the management in patients with the diagnosis of ASBO. Extensive bibliography advocates an initial clinical management due to its high- resolution rates (65 - 80%), however, ideal criteria for surgical management in these patients have not been defined, above all, the role of laparoscopy and the reduction of days of hospitalization related to this last procedure when is applied.

Conclusion and Relevance: The laparoscopic approach for ASBO is associated with better postoperative results, early oral feeding and a better quality of life in a short and long term. However, a correct patient selection for this procedure must be strict, because bowel manipulation and adhesiolysis can cause inadvertent injuries, increasing patient morbidity and mortality.

Keywords: Intestinal Obstruction; Laparoscopy; Tissue Adhesions


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  12. Behman R., et al. “Laparoscopic Surgery for Adhesive Small Bowel Obstruction Is Associated With a Higher Risk of Bowel Injury: A Population-based Analysis of 8584 Patients”. Annals of Surgery3 (2017): 489-498.

Copyright: © 2021 Claudia Delgado G., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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