Clinical impact of laparoscopic surgery and adhesion prevention material for prevention of small bowel obstruction

Abstract

Aim: Adhesive small bowel obstructions (SBO) are one of the most common complications following abdominal surgery, and they decrease patient quality of life. Since 2000, laparoscopic surgery has been employed with increasing frequency, as has adhesion prevention material (APM). In this study we tried to evaluate whether laparoscopic surgery and APM reduce the incidence of SBO. Methods:In Cohort 1, we included patients who developed SBO and received inpatient treatment between 2015 and 2018. We evaluated the elapsed time between precedent surgery and the onset of SBO, and what kind of surgery most often causes SBO. In Cohort 2, we included patients who underwent digestive surgery between 2012 and 2014 and evaluated SBO incidence within 5 y after the precedent surgery.Registry and the Registration No. of the study/trial: N/A.

Strangulated Bowel Obstruction Due to Hiatal Hernia After Laparoscopic Total Gastrectomy

“…LTG for gastric cancer has become widely accepted owing to its equivalent rate of postoperative complications compared to open surgery [7] and the benefit of shorter hospital stays [8]. Laparoscopic surgery is associated with fewer postoperative adhesions, which reduces the incidence of adhesive intestinal obstruction [1]. However, there is a reported increase in the incidence of internal hernias [9].…”

“…Laparoscopic surgery is preferred over open surgery because it results in fewer postoperative adhesions [1], thus reducing the incidence of postoperative adhesive intestinal obstruction. However, it is also believed to increase the development of internal hernias [2].…”