Partial small bowel obstruction and ileus following gynecologic laparoscopy

Milad, Magdy P.; Escobar, J.C.; Sanders, William E.

doi:10.1016/j.jmig.2006.07.017

Cited by 13 publications

(7 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Laparoscopic techniques are associated with less surgical trauma, and one hypothesis concerning laparoscopy as a surgical technique has been that the risk for adhesion formation postoperatively would be lower than after open surgery. Few reports of adhesions after laparoscopy exist [7][8][9]. Experimental studies have demonstrated that several factors, such as CO 2 -induced acidosis and metabolic hypoxemia, temperature, and duration of the intervention, are important in the formation of adhesions at laparoscopy [10].…”

mentioning

confidence: 99%

Bowel obstruction after laparoscopic and open colon resection for cancer: Results of 5 years of follow-up in a randomized trial

et al. 2011

View full text Add to dashboard Cite

Background Postoperative bowel obstruction caused by intra-abdominal adhesions occurs after all types of abdominal surgery. It has been suggested that the laparoscopic technique should reduce the risk for adhesion formation and thus for postoperative bowel obstruction. This study was designed to compare the incidence of bowel obstruction in a randomized trial where laparoscopic and open resection for colon cancer was compared. Methods A retrospective analysis was performed, collecting data of episodes of bowel obstruction with or without surgery. Only episodes treated in the hospital where the index surgery took place were included. Data for 786 patients were collected for the 5-year period after cancer surgery. Results Baseline characteristics for the evaluated laparoscopic (n = 383) and open (n = 403) groups were comparable. The cumulative obstruction percentages at 5 years for the open and laparoscopic groups were 6.5 and 5.1% respectively and did not significantly differ from each other. Tumor stage seemed to influence the risk for bowel obstruction: 2.8% in stage I, 6.6% in stage II, and 7% in stage III, but the differences were not significant. Conclusions This analysis does not support the hypothesis that laparoscopy leads to fewer episodes of bowel obstruction compared with open surgery.Surgical trauma is the cause of more than 90% of intraabdominal adhesions, and approximately 30% of patients who undergo major surgery develop postoperative

show abstract

mentioning

confidence: 99%

Bowel obstruction after laparoscopic and open colon resection for cancer: Results of 5 years of follow-up in a randomized trial

et al. 2011

View full text Add to dashboard Cite

show abstract

“…However, as already mentioned previously, the incidence of bowel distention/ileus after gynecological endoscopy is negligible. 23 We are therefore unable to explain how lidocaine reduced time to discharge readiness.…”

Section: Discussionmentioning

confidence: 91%

“…22 Of note, the incidence of bowel distention/ileus after gynecological endoscopy is negligible, which might explain why lidocaine fails to improve postoperative pain in this specific setting. 23 Second, in order to comply with our institutional routine, all our patients received prophylactic analgesia with ketorolac and paracetamol at the end of surgery. This might have contributed to the overall rather low postoperative pain scores in our patients.…”

Section: Discussionmentioning

confidence: 99%

Systemic Lidocaine Fails to Improve Postoperative Pain, But Reduces Time to Discharge Readiness in Patients Undergoing Laparoscopic Sterilization in Day-Case Surgery

Dewinter

Teunkens

Vermeulen³

et al. 2016

Regional Anesthesia and Pain Medicine

View full text Add to dashboard Cite

show abstract

“…The present study analyzed practice patterns at 7 academic centers with regard to the diagnosis and management of postoperative ileus/SBO after benign gynecologic surgery. Diagnostic imaging studies were frequently ordered (73.6%), and abdominal X‐ray was the most commonly ordered imaging study, followed by CT. A published survey of gynecologic surgeons revealed similar preferences for imaging modalities for diagnosis of ileus and SBO [9]. Physicians order imaging studies in an attempt to differentiate ileus from bowel obstruction, which may require reoperation.…”

Section: Discussionmentioning

confidence: 99%

Management of ileus and small‐bowel obstruction following benign gynecologic surgery

Allen

Antosh

Grimes

et al. 2013

Intl J Gynecology & Obste

View full text Add to dashboard Cite

show abstract

Partial small bowel obstruction and ileus following gynecologic laparoscopy

Cited by 13 publications

References 16 publications

Bowel obstruction after laparoscopic and open colon resection for cancer: Results of 5 years of follow-up in a randomized trial

Bowel obstruction after laparoscopic and open colon resection for cancer: Results of 5 years of follow-up in a randomized trial

Systemic Lidocaine Fails to Improve Postoperative Pain, But Reduces Time to Discharge Readiness in Patients Undergoing Laparoscopic Sterilization in Day-Case Surgery

Management of ileus and small‐bowel obstruction following benign gynecologic surgery

Contact Info

Product

Resources

About