caa a22 4500 475781341 CHVBK 20180406123645.0 cr unu---uuuuu 170329e20000201xx s 000 0 eng 10.1007/s004649900090 doi (NATIONALLICENCE)springer-10.1007/s004649900090 Al-Mulhim A. Department of Surgery, King Fahad Hospital of the University, Post Office Box 2208 Al-Khobar 31952, Saudi Arabia, and King Faisal University, Dammam, Saudi Arabia, Saudi Arabia aut Laparoscopic management of acute small bowel obstruction [Elektronische Daten] Experience from a Saudi teaching hospital [A. Al-Mulhim] Background: The use of laparoscopy has expanded to include the management of acute abdomen. This study describes the author's experience with laparoscopic management of acute small bowel obstruction. Methods: From February 1994 through March 1998, 19 patients underwent laparoscopic intervention for acute small bowel obstruction. Their clinical data were analyzed to evaluate the outcome. Results: A total of 19 patients underwent 20 exploratory laparoscopies. The cause of obstruction was diagnosed correctly in 17 of the patients (90%). Fifteen patients (79%) had adhesions, nine of which were postoperative. Of the 19 patients, 13 (68%) had successful laparoscopic treatment. Laparotomy was required in six patients (32%) for various lesions including ileocecal tuberculosis. The average time for laparoscopy was 58 min. The mean postoperative hospital stay was 5 days. There was no morbidity or mortality in this series. Conclusions: Laparoscopy is a feasible and safe alternative to laparotomy for most patients with acute small bowel obstruction. Springer-Verlag New York Inc., 2000 Key words: Laparoscopy — Small bowel obstruction nationallicence Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 157-160 0930-2794 14:2<157 2000 14 464 https://doi.org/10.1007/s004649900090 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s004649900090 text/html Onlinezugriff via DOI NATIONALLICENCE 100 1- Al-Mulhim A. Department of Surgery, King Fahad Hospital of the University, Post Office Box 2208 Al-Khobar 31952, Saudi Arabia, and King Faisal University, Dammam, Saudi Arabia, Saudi Arabia aut NATIONALLICENCE 773 0- Surgical Endoscopy Springer-Verlag 14/2(2000-02-01), 157-160 0930-2794 14:2<157 2000 14 464 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer