MINIMALLY INVASIVE TREATMENT OF ACUTE INTESTINAL OBSTRUCTION BY PERITONITIS

Acute commissural intestinal obstruction aggravated by peritonitis has been proved to be quite common and severe disease which requires urgent operations; death rate of this disease averages 10,2 – 56,9 %. Taking into consideration these facts the aim of this work is to decrease risk factors of disease’s recurrence, to improve the level of prophylaxis of commissural intestinal obstruction aggravated by peritonitis using modern therapeutic methods. Clinical evaluation of 81 patients with commissural intestinal obstruction aggravated by peritonitis (OIOAP) who have been treated in our department for the last 8 years has been carried out in this investigation. On the base of sufficient clinical material, the following conclusions have been made: treatment by the means of endovideolaparoscopic method gives the opportunity not only to eliminate the cause of the development of commissural intestinal obstruction aggravated by peritonitis; it proved to be effective method of prevention of commissural disease after surgical operation; besides, this method completely meets the requirements of esthetic and cosmetic surgery. Actually this method prevents the recurrence of commissure formation, it is very important for patients with the tendency to commissure formation.