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Date Published: 06/10/2023
Abstract Views: 134
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DOI: https://doi.org/10.51298/vmj.v530i2.6796
Issue
Vol. 530 No. 2 (2023)
Section
Các bài báo
How to Cite
Nguyễn, V. T., Vũ, N. V., & Hồ, C. T. (2023). EVALUATION OF RESULTS OF LAPAROSCOPIC MANAGEMENT FOR POSTOPERATIVE SMALL BOWEL OBSTRUCTION. Vietnam Medical Journal, 530(2). https://doi.org/10.51298/vmj.v530i2.6796

EVALUATION OF RESULTS OF LAPAROSCOPIC MANAGEMENT FOR POSTOPERATIVE SMALL BOWEL OBSTRUCTION

Văn Tiệp Nguyễn1,, Ngọc Viên Vũ1, Chí Thanh Hồ1
1 Military Medical Academy, Military Hospital 103

Main Article Content

Abstract

Objectives: to evaluate the results of laparoscopic surgery in the treatment of postoperative small bowel obstruction. Patients and methods: retrospective, clinical description on 49 patients diagnosed with postoperative small bowel obstruction and undergoing laparoscopic surgery for treatment at Military Hospital 103 from May 2018 to May 2022. Results: Mean age was 41.8 ± 17.3 (13-76); female accounted for 61.2%, male accounted for 38.8%. Mean time of disease manifestation: 2.7 ± 0.9 days, history of abdominal surgery was 1 time, accounting for 87.8%. Laparoscopic surgery is applied to manage simple, uncomplicated causes of intestinal obstruction. In which: ligament removal (53.1%), removal of intestinal adhesions (38.8%) and 3 patients with intestinal volvulus (6.1%). Laparoscopic surgery helps patients recover early, the mean time after surgery is 1.8 ± 0.8 days, the average time after surgery is 2.1 ± 1.1 days. Laparoscopy also shortens the hospital stay with an average length of stay of 4.5 ± 1.4 days. The rate of complications and complications after surgery is low. Intestinal serosa tear (8.1%), small bowel perforation during de-adhesion 4%, wound infection (2%), early bowel obstruction after surgery (2%), no mortality. Conclusion: Laparoscopic surgery to treat postoperative small bowel obstruction in the research group of patients is safe, feasible, helps patients recover quickly, has a low rate of complications

Article Details

Keywords

Laparoscopy, small bowel obstruction, postoperative small bowel obstruction

References

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