Postlaparoscopic small bowel obstruction

Rethinking its management

J. M. Velasco, V. L. Vallina, S. R. Bonomo, Tina J Hieken

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

Background: Patients with early postoperative small bowel obstruction (SBO) are usually managed nonoperatively with nasogastric suction, intravenous fluids, and observation. The majority of early postoperative SBO resolve without an operation. Methods: We performed a retrospective review of patients who had been diagnosed with postlaparoscopic SBO at three Chicago area teaching hospitals. Results: The patients were initially managed nonoperatively for up to 7 days. However, all of them subsequently required an operation. In every case, the postlaparoscopic SBO was caused by the small bowel being incarcerated in a peritoneal defect created either by trocar placement or peritoneal incision for herniorrhaphy. Conclusion: In contradistinction to the approach used for early SBO after laparotomy, prompt operative intervention for postlaparoscopic SBO is recommended.

Original languageEnglish (US)
Pages (from-to)1043-1045
Number of pages3
JournalSurgical Endoscopy
Volume12
Issue number8
StatePublished - Aug 1998
Externally publishedYes

Fingerprint

Herniorrhaphy
Suction
Surgical Instruments
Teaching Hospitals
Laparotomy
Observation

Keywords

  • Laparoscopy
  • Postoperative small bowel obstruction

ASJC Scopus subject areas

  • Surgery

Cite this

Velasco, J. M., Vallina, V. L., Bonomo, S. R., & Hieken, T. J. (1998). Postlaparoscopic small bowel obstruction: Rethinking its management. Surgical Endoscopy, 12(8), 1043-1045.

Postlaparoscopic small bowel obstruction : Rethinking its management. / Velasco, J. M.; Vallina, V. L.; Bonomo, S. R.; Hieken, Tina J.

In: Surgical Endoscopy, Vol. 12, No. 8, 08.1998, p. 1043-1045.

Research output: Contribution to journalArticle

Velasco, JM, Vallina, VL, Bonomo, SR & Hieken, TJ 1998, 'Postlaparoscopic small bowel obstruction: Rethinking its management', Surgical Endoscopy, vol. 12, no. 8, pp. 1043-1045.
Velasco JM, Vallina VL, Bonomo SR, Hieken TJ. Postlaparoscopic small bowel obstruction: Rethinking its management. Surgical Endoscopy. 1998 Aug;12(8):1043-1045.
Velasco, J. M. ; Vallina, V. L. ; Bonomo, S. R. ; Hieken, Tina J. / Postlaparoscopic small bowel obstruction : Rethinking its management. In: Surgical Endoscopy. 1998 ; Vol. 12, No. 8. pp. 1043-1045.
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