THE USE OF MINIMALLY INVASIVE METHODS OF TREATMENT IN ACUTE INTESTINAL OBSTRUCTION COMPLICATED BY PERITONITIS

Abstract

The adhesive intestinal obstruction complicated by peritonitis is a rather widespread and severe disease demanding urgent operative interventions and the death rate comes to 9,6 - 65,7%.  Proceeding from these facts the aim to reduce the risk of the disease relapse, to increase prevention level of the adhesive intestinal obstruction complicated by peritonitis by means of applying modern methods of treatment is set. Clinical estimation of 71 patients with SCNOS who were treated in our clinic for the last 5 years was carried out in the present research. Relevant conclusions, indicating the following facts were made on the basis of the sufficient clinical material; that treatment by laparoscopic method allows not only to eliminate the cause of the sacral intestinal obstruction complicated by peritonitis, but it is the effective method of prophylaxis of the adhesions after surgical intervention. Furthermore, it is fully compliant with aesthetic and cosmetic surgery requirements. Most importantly, the given method prevents the recurrence of adhesions, and it is especially important for the patients with predisposition to adhesions.