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Laparoscopic Management of Small Bowel Obstruction

  • John HagenEmail author
Chapter

Abstract

Small bowel obstructions from any etiology can be managed laparoscopically. There been some controversy as to the safety of laparoscopy because of the concern that dilated small bowel could be injured either with insertion of the first port or with laparoscopic manipulation [1, 8]. The initial management will depend upon the suspected etiology of the small bowel obstruction. The usual surgical principles should be applied of nasogastric suction, intravenous fluids, and stabilization of the patient. Consideration should be made to the insertion of the first port to avoid injury to the dilated loops of the small intestine. This chapter will deal with the safe management of small bowel obstruction laparoscopically (Video 10.1).

Keywords

Safe port placement Adhesiolysis Hernias Food bolus Tumors Gallstone ileus 

Supplementary material

Video 10.1

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Video 10.2

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Video 10.3

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Video 10.4

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Video 10.5

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Video 10.6

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Video 10.7

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Video 10.8

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Video 10.9

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Video 10.10

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of SurgeryUniversity of Toronto Humber River HospitalTorontoCanada

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