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- W4313705321 abstract "Abstract Introduction Exploratory laparotomy has classically been the treatment for adhesive small bowel obstruction (ASBO). Laparoscopic approaches have proven to be a beneficial technique in selected patients. Despite being minimally invasive and associated with low morbidity it is still not a widespread technique. Methods Descriptive, retrospective study from January 2011 to April 2022, of 43 patients with ASBO operated by laparoscopy in a tertiary hospital. Demographic, surgical and evolutionary variables were analysed. Descriptive statistics using non-parametric tests. Univariate logistic regression. Results The median age was 67 years (44–77.5), 65% women and 63.3% had previous surgery. In CT (93%) mean loop dilatation was 37.2±6mm and reported as single adhesive band in 62.7%. Time to surgery <24h in 51.1% and mean operative time 85±48 minutes. 74.1% had AAST classification (The American Association for the Surgery of Trauma) ≤II, conversion rate 27.9% and 3 patients suffered iatrogenesis. After surgery 43% had oral tolerance <48h with a median postoperative stay of 6 days. Median follow-up of 48.7 months with 6.9% reoperation, 4.6% readmission, Clavien-Dindo <1 in 70% and no deaths. There was a relation (p<.05) between conversion-AAST grading ≤II (OR 0.33) and between conversion-surgical time (OR 1.02). Conclusions Laparoscopy is a safe approach in patients with OIB in our setting. Our series reflects effective results, in a prolonged mean follow-up, with a low readmission rate and a conversion to open surgery similar to previous series, with only an association between the degree of obstruction and the operative time with the obstruction." @default.
- W4313705321 created "2023-01-08" @default.
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- W4313705321 date "2023-01-04" @default.
- W4313705321 modified "2023-10-16" @default.
- W4313705321 title "RETROSPECTIVE STUDY OF THE LAPAROSCOPIC APPROACH TO SMALL BOWEL OBSTRUCTION" @default.
- W4313705321 doi "https://doi.org/10.1093/bjs/znac443.008" @default.
- W4313705321 hasPublicationYear "2023" @default.
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