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Laparoscopic surgery for adhesive small bowel obstruction is associated with a higher risk of bowel injury: A population-based analysis of 8584 patients

Annals of Surgery Aug 17, 2017

Behman R, et al. – Researchers performed comparison of the incidence of bowel repair and/or resection in a large cohort of patients with adhesive small bowel obstruction (SBO) managed operatively. Laparoscopic procedures for adhesive SBO (aSBO) seemed associated with a greater frequency of intervention for bowel injury and/or repair. This increase could be due to challenges inherent with laparoscopic approaches in patients with distended small bowel. They recommend surgeons to approach laparoscopic lysis of adhesions with a higher level of awareness and use strategies to mitigate this risk.
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