Laparoscopic Surgery for Subacute Small Bowel Obstruction

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This video demonstrate laparoscopic surgery for Small Bowel Obstruction Performed by Dr R K Mishra at World Laparoscopy Hospital. Subacute small bowel obstruction (Subacute Intestinal Obstruction) is an surgical condition. Its diagnosis is based mainly on a clinical examination followed by confirmatory simple routine radiological examinations such as plain X-ray of the abdominal cavity or computed tomography (CT). However, a real surgical intervention is required. Laparoscopy in small bowel obstruction does have a clear role yet; surely it doesn't always represent only a therapeutic act, but it is always a diagnostic act, which doesn't interfere the outcome. With regard to SBO, laparoscopy is a technique showing its advantages resulting from a minimally invasive approach, including a reduced rate of complications, shorter hospitalisation period or lower consumption of analgesics. However, despite the fact that it is so commonly used and technically advanced, Subacute Intestinal Obstruction is still a condition where the use of laparoscopy is limited in everyday practice mainly to selected cases such as adhesive SBO caused by single adhesions or foreign bodies in the gastrointestinal tract. A basic limitation of using this technique is advanced and complicated SBO and lack of sufficient technical skills of the surgeon.