| Literature DB >> 26730092 |
Bao-Yin Wu1, Chao Gu2, Xiu-Yun Yan3, Hai-Yang Yu1, Zhen You1, Hao Wang1, Li-Chao Wen1, Ji-Zong Ren1, Yu-Tie Zhang1.
Abstract
This work aims to explore the application value and clinical efficacy of laparoscopic enterolysis surgery for the treatment of adhesive intestinal obstruction. A total of 126 inpatient cases of intestinal adhesion were selected. In order to observe the effects and complications of surgery, the patients were randomly assigned into laparoscopic and laparotomy groups, with 63 cases in each group. The operative time, blood loss, postoperative ambulation time, exhaustion time, postoperative analgesia number of patients, and hospital days of the patients in the laparoscopic group were compared with those in the control group, and the differences were all statistically significant (p < 0.05). In the laparoscopy group, two patients experienced rupture of the small intestine during the surgery, but recovered well after endoscopic suture repair, although there was one case of postoperative pulmonary infection. The difference was statistically significant in the laparotomy group of patients, with one case of intestinal fistula, two cases of surgical wound infection, one case of incisional hernia, three cases of postoperative pulmonary infection, and one case of urinary tract infection. Compared with laparotomy, laparoscopic enterolysis surgery has shorter operative time, less blood loss, faster postoperative recovery, and fewer complications.Entities:
Keywords: Intestinal adhesion; Laparoscopy; Laparotomy; Lysis; Postoperative complications
Year: 2013 PMID: 26730092 PMCID: PMC4692933 DOI: 10.1007/s12262-013-0991-4
Source DB: PubMed Journal: Indian J Surg ISSN: 0973-9793 Impact factor: 0.656