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The Results of treatment of 8 female patients with early acute adhesive small bowel obstruction (AASBO) after laparoscopic gynecological surgery are presented. Diagnostic laparoscopy appeared to be the most helpful and the safest diagnostic technique, confirming the AASBO diagnosis and helping to choose operative treatment mode. In 5 patients AASBO was successfully treated using laparoscopic method, while in 3 patient median laparotomy was required: 1 patient with AASBO relapse, and 2 patients with pelvic peritonitis progression.

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To date, more than 30,000 laparoscopic operations have been performed at the clinical bases of the department (31st City Clinical Hospital and TsPSiR). The widespread introduction into clinical practice of laparoscopic interventions for various pathologies of the genitals and the accumulated experience of their implementation made it necessary to revise some approaches and determine the most optimal, scientifically grounded positions when choosing an operative access and methods for performing gynecological operations.