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Postoperative adhesive peritoneal disease

Laparoscopic treatment

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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.

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Authors and Affiliations

  1. Service de Chirurgie Générale et Digestive, Hôpital Claude Bernard, Centre Hospitalier Lyon-Sud, 22 Grande Rue d'Oullins, B.P. 84, 69923, Ouillins Cedex, France

    Y. Francois, P. Mouret, K. Tomaoglu & J. Vignal

Authors
  1. Y. Francois
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  2. P. Mouret
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  3. K. Tomaoglu
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  4. J. Vignal
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Francois, Y., Mouret, P., Tomaoglu, K. et al. Postoperative adhesive peritoneal disease. Surg Endosc 8, 781–783 (1994). https://doi.org/10.1007/BF00593440

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  • DOI: https://doi.org/10.1007/BF00593440

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