POSTOPERATIVE ADHESIVE PERITONEAL DISEASE - LAPAROSCOPIC TREATMENT

The aim of this prospective study was to judge the efficiency of lapar oscopic adhesiolysis: 52 patients have been treated laparoscopically e ither for obstruction (group 1: 17 patients) or for chronical abdomina l pain (group 2: 35 patients). Two out of five peroperative complicati ons required a laparoconversion whereas two postoperative complication s required a laparotomy for intestinal obstruction. Six patients of gr oup 1 developed a recurrence of obstruction treated by laparoscopy in four and by laparotomy in two cases. At the time of the study (among 5 0 patients with a mean follow-up of 24 months), 32 patients were asymp tomatic, 13 found that their symptoms had lessened, and finally, five patients were not improved. We concluded that laparoscopic adhesiolysi s is an attractive surgical procedure, allowing a clinical improvement in 45 out of 50 patients in our study.