Introduction and Aim: One of the formidable complications in abdominal surgery is early intestinal obstruction, which quickly leads to the development of severe endotoxicosis, and intra-abdominal hypertension. The objective of this study is to present the results of repeat operation of early adhesive intestinal obstruction.   Methodology: There were 27 patients (13 men and 14 women) aged 17-73 years under observation, who were re-operated for early intestinal obstruction that occurred after operations on abdominal organs. Twenty-four operations were performed by laparotomic access and three by laparoscopic access. Eighteen were operated on an emergency basis and nine were operated on as per plan.   Results: After diagnosis, all patients were operated on under endotracheal anesthesia with median laparotomy access, with the timing of the intervention being different. So, on the first day after the obstruction was detected, five patients were operated on, 15 patients from 24-72 hours, six patients from 3-5 days, and one patient was operated on after five days. This study shows the severity of the condition of patients with early intestinal obstruction and the complexity of treatment.   Conclusion: After surgery, treatment should be comprehensive and aimed at etiopathogenesis and affect intra-abdominal pressure, endotoxicosis, and nutritional support.

Introduction and Aim: Cystic echinococcosis (CE) is the most common parasitic disease in Kyrgyzstan, which can affect all organs and organ systems of the body, but its most common localization is the liver and lungs. This study aimed to describe the possibilities and main stages of videolaparoscopy in the surgical treatment of hepatic CE.   Materials and Methods: Twenty-five patients aged 17-64 years who were under observation were admitted to the surgical department of our hospital from 2018-2022, were diagnosed with hepatic CE, and underwent surgical treatment by videolaparoscopy.   Results: The variant of the surgical technique was based on the use of three trocars including paraumbilical (basic – 10mm), epigastric (introduction and removal of a rubber sac with a chitinous sheath – 10 mm), and hypochondrium (on the right – 5mm). Only in three cases, it became necessary to include the 4th trocar mesogastric (on the right – 5mm), as demonstrated. The operation duration was 60±5 minutes. Drainage in the abdominal cavity was installed according to the location of the cavity and removed for 2-3 days.   Conclusion: Laparoscopic methods of treatment of hepatic CE provide greater efficiency when performed with proper surgical manipulations by considering the size and localization of cysts.