Лапароскопия как метод завершающей диагностики острой спаечной тонкокишечной непроходимости у ранее неоперированных пациентов

The article presents the use of laparoscopic interventions in 38 patients with Acute Adhesive Small Bowel Obstruction (AASBO) in patients without previous history of abdominal surgery. Clinical, radiological and ultrasound patterns of desease are analyzed. The use of laparoscopy has proved itself the most effective and relatively safe diagnostic procedure. In 14 (36,8 %) patients convertion to laparotomy was made due to contraindications for laparoscopy. In 24 (63,2 %) patients laparosopic adhesyolisis was performed and AASBO subsequently treated with comlications rate of 4.2 %.