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Surgical Endoscopy

, Volume 8, Issue 7, pp 781–783 | Cite as

Postoperative adhesive peritoneal disease

Laparoscopic treatment
  • Y. Francois
  • P. Mouret
  • K. Tomaoglu
  • J. Vignal
Original Articles

Abstract

The aim of this prospective study was to judge the efficiency of laparoscopic adhesiolysis: 52 patients have been treated laparoscopically either for obstruction (group 1: 17 patients) or for chronical abdominal pain (group 2: 35 patients). Two out of five peroperative complications required a laparoconversion whereas two postoperative complications required a laparotomy for intestinal obstruction.

Six patients of group 1 developed a recurrence of obstruction treated by laparoscopy in four and by laparotomy in two cases. At the time of the study (among 50 patients with a mean follow-up of 24 months), 32 patients were asymptomatic, 13 found that their symptoms had lessened, and finally, five patients were not improved.

We concluded that laparoscopic adhesiolysis is an attractive surgical procedure, allowing a clinical improvement in 45 out of 50 patients in our study.

Key words

Postoperative adhesions Laparoscopic treatment 

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References

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Copyright information

© Springer-Verlag New York Inc 1994

Authors and Affiliations

  • Y. Francois
    • 1
  • P. Mouret
    • 1
  • K. Tomaoglu
    • 1
  • J. Vignal
    • 1
  1. 1.Service de Chirurgie Générale et DigestiveHôpital Claude Bernard, Centre Hospitalier Lyon-SudOuillins CedexFrance

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