ArticleBMC surgery2019
The role of the laparoscopic approach in the surgical management of acute adhesive small bowel obstruction.
Article in BMC surgery, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers, 1 of them a synthesis that pooled it.
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Who cites it
27 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Minimally invasive versus open surgery for adhesive small bowel obstruction: a systematic review and meta-analysis.Surgical endoscopy · 2026Pooled it
- Laparoscopic adhesiolysis for small bowel obstruction in patients with abdominal surgical history: what makes it technically challenging?Surgical endoscopy · 2026Article
- Congenital band as a rare cause of small bowel obstruction: a case series and review of the literature.World journal of emergency surgery : WJES · 2026Review
- Small bowel obstruction induced by migrated sacropexy mesh: a case report.Journal of medical case reports · 2026Article
- A decade-long nationwide analysis of surgical management of adhesive small bowel obstruction: Open vs. laparoscopic approach.Surgical endoscopy · 2026Article
- Minimally Invasive Surgery in Acute Bowel Obstruction: Should It Become the Standard of Care? A Prospective, Single Center, Observational Study.Journal of clinical medicine · 2024Article
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- Article
- Keys to successful laparoscopic adhesiolysis for adhesive small bowel obstruction: A scoping review.Heliyon · 2024Article
- Liberal surgical laparoscopy reduction for acute intussusception: experience from a tertiary pediatric institute.Scientific reports · 2024Article
- Association between clinical and surgical variables with postoperative outcomes in patients treated for intestinal obstruction for non-malignant conditions: a cross-sectional study.Scientific reports · 2023Observational
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part II.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- "Choice of surgical approach for the treatment of acute small bowel obstruction: A retrospective analysis from a high-volume single center in Milan, Northern Italy".Surgery in practice and science · 2023Article
- Laparoscopic repair for internal hernia associated with colostomy: a case report.Journal of surgical case reports · 2023Article
- The Angers CT Score is a Risk Factor for the Failure of the Conservative Management of Adhesive Small Bowel Obstruction: A Prospective Observational Multicentric Study.World journal of surgery · 2023Observational
- Successful Laparoscopic Management of Pericaecal Hernia Causing Small Bowel Obstruction.Cureus · 2023Article
- Laparoscopic Management of Acute Small Bowel Obstruction in Non-Selected Patients: A 10-Year Experience.Journal of clinical medicine · 2022Article
- Bowel obstruction following pediatric abdominal cancer surgery.Pediatric surgery international · 2022Article
- Diagnosis of single adhesive bands versus matted adhesions in small bowel obstructions: a radiological predictive score.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
- Nasogastric tube after small bowel obstruction surgery could be avoided: a retrospective cohort study.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2022Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPostoperative adhesions represent 75% of all acute small bowel obstructions. Although open surgery is considered the standard approach for adhesiolysis, laparoscopic approach is gaining popularity.
methodsA retrospective study with data from a prospectively maintained data base of all patients undergoing surgical treatment for adhesive small bowel obstruction (ASBO) from January 2007 to May 2016 was conducted. Postoperative outcomes comparing open vs laparoscopic approaches were analysed. An intention to treat analysis was performed. The aim of the study was to evaluate the potential benefits of the laparoscopic approach in the treatment of ASBO.
results262 patients undergoing surgery for ASBO were included. 184 (70%) and 78 (30%) patients were operated by open and laparoscopic approach respectively. The conversion rate was 38.5%. Patients in the laparoscopic group were younger (p < 0.001), had fewer previous abdominal operations (p = 0.001), lower ASA grade (p < 0.001), and less complex adhesions were found (p = 0.001). Operative time was longer in the open group (p = 0.004). Laparoscopic adhesiolysis was associated with a lower overall complication rate (43% vs 67.9%, p < 0.001), lower mortality (p = 0.026), earlier oral intake (p < 0.001) and shorter hospital stay (p < 0.001). Specific analysis of patients with single band and/or internal hernia who did not need bowel resection, also demonstrated fewer complications, earlier oral intake and shorter length of stay. In the multivariate analysis, the open approach was an independent risk factor for overall complications compared to the laparoscopic approach (Odds Ratio = 2.89; 95% CI 1.1-7.6; p = 0.033).
conclusionsLaparoscopic management of ASBO is feasible, effective and safe. The laparoscopic approach improves postoperative outcomes and functional recovery, and should be considered in patients in whom simple band adhesions are suspected. Patient selection is the strongest key factor for having success.
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