Clinical observations

doi: 10.25005/2074-0581-2017-19-4-566-570
A CASE OF SUCCESSFUL SURGICAL TREATMENT OF ACUTE COMMISSURAL INTESTINAL OBSTRUCTION BY USING MINIMALLY INVASIVE TECHNOLOGY

O.S. Boymurodov, Yo.B. Yorov, Z.Kh. Gaziev, Sh.A. Toshev

Department of General Surgery № 1, Avicenna Tajik State Medical University, Dushanbe, Tajikistan

The article contains the results of modern diagnosis and successful minimally invasive surgical treatment of a patient with acute commissural intestinal obstruction. Timing of the entrance form the onset of the disease amounted to 24 hours. The reason for treatment at the clinic was the increased pain syndrome, bloating and dyspeptic phenomenon. When ultrasound found, free fluid in the abdominal cavity is not available.

For a more accurate diagnostic topical review was performed X-rays of abdominal cavity, on which Kloyber’s bowls and intestinal arches revealed, which was confirmed by the diagnosis of intestinal impassability. The patient operated using laparoscopic technology. There were no intraoperative complications. The duration of the operation was 45 minutes. Drainage tubes removed on the 3rd day. In the postoperative period, the patient prescribed antibiotics, antispasmodics, colloidal-crystalloid solutions, non-narcotic analgesics and absorbable drugs. The duration of hospitalization was 5 days. During the monitoring inspection within one month, the patient had no any complaints.

Keywords: Laparoscopy, intestinal commissural obstruction, cord-like adhesions, adhesion.

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Authors informations:

Boymurodov Orif Sultonovich, Candidate of Medical Sciences, Associate Professor, Head of the Department of General Surgery № 1, Avicenna TSMU

Yorov Yormakhmad Boboevich, Assistant of the Department of General Surgery № 1, Avicenna TSMU

Gaziev Zafar Khakimbekovich, Assistant of the Department of General Surgery № 1, Avicenna TSMU

Toshev Shahriyor Abdushukurovich, Assistant of the Department of General Surgery № 1, Avicenna TSMU

Address for correspondence:

Yorov Yormakhmad Boboevich

Assistant of the Department of General Surgery № 1, Avicenna TSMU

734003, Republic of Tajikistan, Dushanbe, Rudaki Ave., 139

Tel.: (+992) 918 446329

E-mail: yorov-farzod@mail.ru

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