الفهرس 
The Periittoneum
Risk factors of adhesion formationOnly 14 pages are availabe for public view
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Abstract
Our study is conducted on 14 patients with age range 18-53 years
(8 males & 6 females) who were presented by adhesive intestinal obstruction
to gastrointestinal and laparoscopic surgery unit from June 2015 to June
2016.
The main aim of this study was to evaluate the laparoscopic
adhesiolysis in management of adhesive intestinal obstruction as regard
feasibility, post-operative pain and hospital stay.
All patients presented with absolute constipation with 13 cases
(92.9%) had generalized colicky abdominal pain, with 11 cases (78.6%) had
abdominal distention and in 6 cases (42.9%) had bilious vomiting. 5 patients
(35.7%) had low grade fever (below 38.5 degree) and only one patient had
high grade. All cases had normal TLC with mean 8278.57 except one case
who had slight elevation, six cases had elevated CRP ranging from 6-54
mg/dl with mean 14.6 and three cases (21.4%) showed elevated LDH, two
cases (14.3%) show definite hypokalemia (K< 3.5 mmol), six cases (42.9%)
had borderline hypokalemia (K< 4.0 mmol).
One case (7.1%) had mild grade of mechanical obstruction, 7 cases
(50%) had moderate grade of mechanical obstruction and 6 cases (42.9%)
had normal CT study as imaging was done after resolution of the attack. It
was found that the cases with moderate grade mechanical obstruction in the
CT scan had more adhesions in the abdomen with statistically significance pvalue
0.029.
All patients were given I.V. fluids, antibiotics and antipyretic then
they was treated by laparoscopic adhesiolysis after at least 48 hours.