How to Cite

Archvadze, B., Berishvili, K., Asanidze, S., Sabashvili, G., & Maisaia, I. (2018). TECHNICAL AND TACTICAL ISSUES OF SURGICAL TREATMENT OF ACUTE ADHESIVE BOWEL OBSTRUCTION. Collection of Scientific Works of Tbilisi State Medical University, 51, 13–15. Retrieved from


The study presents the history of disease of 60 patients who have been operated with acute adhesive bowel obstruction. Among the patients 35 were male, 25 females. Age range 17-80 years. As it was clear from the anamnesis, 29 cases of adhesive processes have developed after acute appendicitis and a severe injury of abdominal organs, in another 26 cases due to various types of operations, and in 5 cases due to the recurrence of adhesive disease. Our operating tactics included not only the resection of pathologically damaged bowel, but also maximum resection of serous and deformed bowel loops, preserving, of course, the small intestine in the volume (length), which would be sufficient for the normal functioning of the intestinal tract. Out of 60 surgeries, resection of various volume of intestine was carried out on 49 patients. Treatment of only 11 patients was limited to synechiolisis. After the operation, 9 complications were reported, out of which 4 cases had a lethal outcome. There was no case of anastomosis suture insufficiency. Key words: adhesive obstruction, bowel decompression, bowel stimulation.



1. Луцевич О. Э. Акимов Б. П. и другие Спаечная болезнь брюшины Современный взгляд на патогенез и лечение Хирургия 2017 №10 страницы 100-105
2.Минулин М. Н. Абдульянов А. В. Николаев Я. Ю. Хирургическая тактика при ранней после¬операционной спаечной непроходимости Практи¬ческая медицина иновационной тхнологии в медицине том 2 хирургия 2014 страница 20.

3.Романов Э. И. Ерасимов Н. А.и другие При¬чины летального исхода при острой спаечной кишечной непроходимости Вестник хирургии 1998 страница 57-59.
4.Маилова К. С., Осипова А. А., Корона Р., Бинда М., Конинкс Ф., Адамян Л. В. Факторы, влияющие на образование спаек при лапараскопических операциях. Научные ведомости. Серия Медицина. Фармация. 2012; 17(4):201-206;
5.Суковатых Б. С., Мясников А. Д., Бежин А. И., Лазаренко В. А., Липатов В. А., Дубонос А.А., Жуковский В. А., Вербицкий Д. А. Эффек¬тивность антиспаечного средства с барьерным действием “Мезогель” после рассечения спаек у пациентов с острой спаечной кишечной непрохо¬димостью. Вестник хирургии . 2008; 167(5):29-32;
6. Binda M. M. Humidification during laparoscopic surgery: overview of the clinical benefits of using humudified gas during laparoscopic surgery. Arch Gynecol Obstet. 2015; 292(5):955-971;
7. Haney AF, Doty E. A barrier composed of chemically cross-linked hyaluronic acid (Incert) reduces postoperative adhesion formation. Fertil Steril. 1998; 70(1):145-151;
8. Hermans MH, Brown L, Darmos M. Adhesion prevention in an intra-peritoneal wound model: performance of two resorbable hemostats ina controlled study in rabbits. J Biomed Mater Res B Appl Biomater. 2012; 100(6):1621- 1626;
9. Koninckx PR, Binda MM, Corona R, Molinas CR. postoperative adhesions and their prevention. In: Reconstructive and Reproductive Surgery in Gynecology (ed. by). Gomel V., Brill A. (eds). CRC Press. In-forma Healthcare. 2010;8-17;
10. Miller G, Boman J, Shrier I, Gordon PH. Natural history of patients with adhesive small bowel obstruction. Br J Surg. 2000; 87(9):1240-1247;
11. Molinas CR, Koninckx PR. Hypoxaemia induced by CO 2 or helium pneumoperitoneum is a co-factor in adhesion formation in rabbits. Hum Reprod. 2000; 15(8):1758- 1763;


Download data is not yet available.


Metrics Loading ...