Can minimally invasive surgical techniques reduce the incidence of postoperative adhesions?

Ileus Etiology Postoperative Ileus Group B
DOI: 10.5604/01.3001.0015.7342 Publication Date: 2022-06-09T11:23:54Z
ABSTRACT
<br><b>Introduction:</b> Postoperative intra-abdominal adhesions are a clinical condition that may develop after any abdominal surgery and constitute the leading cause of mechanical small bowel obstructions.</br> <br><b>Aim:</b> This study investigates factors which influence formation postoperative adhesion evaluates efficiency applying minimally invasive surgical techniques in reducing adhesion.</br> <br><b>Material methods:</b> Patients who underwent to diagnose obstructive ileus our clinic between January 2015 2020 were analyzed retrospectively. Demographic data patients, operation details time operations history hospitalizations, mortality morbidity, as well severity complications recorded. The patients included divided into groups according technique applied first (laparoscopy/ laparotomy), incision line (upper/lower/total), etiology primarily operated lesion (benign/malignant).</br> <br><b>Results:</b> One hundred eighteen (118) study. mean age was 61.2 ± 10.8 (39-82) years. Age, history, onset ileus, length hospital stay number shorter laparoscopy group compared laparotomy difference found be statistically significant. In addition, when categorized line, fewer hospitalizations more frequent due observed sub-umbilical (p < 0.05).</br> <br><b>Conclusions:</b> is currently one conditions pose challenge both patient clinician its incidence recurrence. However, can reduced by methods, especially laparoscopic precise maneuvers during surgery.</br&gt.
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