[Laparoscopic treatment of mechanical small XXXX ].

@entity1 @entity1744 @entity1321 @entity547
BACKGROUND: A history of abdominal surgery have long been considered a contraindication to laparoscopy. There was a reluctance to advocate the use of laparoscopy in mechanical @entity1744 due to technical difficulties related to a distended small intestine, and a small work space. AIMS: To report the results of laparoscopic treatment of small bowel mechanical obstruction and to study the factors for conversion to laparotomy. METHODS: Our study is retrospective, having compiled 32 @entity1 between January 2001 and December 2009. The average age was 35 years (20-54). There were 17 @entity1 and 15 @entity1 . History of laparotomies were noted in 27 @entity1 . Were excluded from this study @entity1 with strangulated @entity547 or eventration. An analysis was conducted to determine the conversion factors to laparotomy RESULTS: The flanges or postoperative adhesions were responsible for 27 of the 32 @entity1321 (84%). In 24 cases there was a single flange or localized adhesions treated by simple section successfully in 18 @entity1 (56% of cases). A conversion was performed in 14 cases (44%). the median time to recovery of intestinal transit was shorter after laparoscopic surgery completely after conversion (1.5 vs. 2.5 days, p = 0.004). Similarly, the median length of postoperative stay was shorter in the absence of conversion (2.4 vs 7, p <0.001). Statistical analysis identified four factors related to conversion, which are: the presence of peritoneal signs, the number of brackets> 1, and the need for a bowel resection. CONCLUSION: Laparoscopy is an option for the treatment of mechanical @entity1744 when performed in selected @entity1 . His best indication could be the occlusion of single flange. This alternative to laparotomy could reduce adhesion formation and potentially reduce future episodes of obstruction.
