Literature Reviews
doi: 10.25005/2074-0581-2021-23-2-269-279
MAIN ASPECTS OF ADHESIVE SMALL BOWEL OBSTRUCTION

M.K. Gulov1, D.S. Salimov1, S.G. Ali-Zade2, A.R. Dostiev1, I.I. Kobilov1

1Department of General Surgery № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Department of Surgical Diseases № 1, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan

Immediacy of the problem of acute adhesive small bowel obstruction (AASBO) is due to its high prevalence and presence of certain difficulties in diagnosis, which affect the choice of the treatment method. In addition, the long-term results of treatment cannot be considered satisfactory due to the large number of AASBO recurrences. In 64-93% of cases, adhesions form on the abdominal organs after surgery. It should be noted that their recurrence after open surgery reaches 30% of cases, and after repeated operations this value increases to 78%. Determination of the main etiological factor is of great importance, which makes it possible to assess the feasibility surgery, since it is known that if adhesions do not develop, treatment can be conservative. In this regard, X-ray methods of investigation can be of great help. Surgical intervention is recommended in the presence of intestinal dysfunction symptoms that do not disappear after conservative treatment or when it worsens. Surgical intervention is recommended if symptoms of intestinal dysfunction do not disappear after conservative treatment or if they deteriorate. n recent decades, specialists in the field of abdominal surgery have been striving to expand the indications for laparoscopic interventions in order to reduce the invasiveness of surgery, which will also decrease the risk of adhesions.

Keywords: Bowel obstruction, small intestine, surgery, adhesions, laparoscopic adhesiolysis.

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Authors' information:

Gulov Makhmadshokh Kurbonalievich
Doctor of Medical Sciences, Full Professor, Professor of the Department of General Surgery № 1, Avicenna Tajik State Medical University
Researcher ID: D-7916-2018
Scopus ID: 6507730145
ORCID ID: 0000-0001-5151-937X
SPIN: 5463-6781
Author ID: 305733
E-mail: info@tajmedun.tj

Salimov Dzhamshed Saydakhmadovich
Candidate of Medical Sciences, Associate Professor of the Department of General Surgery № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0001-6396-2600
SPIN-код: 5488-8836
Author ID: 1073489
E-mail: salimov_jamshed1973@mail.ru

Ali-Zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-2456-7509
SPIN-код: 6854-5343
Author ID: 258253
E-mail: suhrob_a@mail.ru

Dostiev Ashur Radzhabovich
Doctor of Medical Sciences, Full Professor, Professor of the Department of General Surgery № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-8350-0179
SPIN-код: 2700-6125
Author ID: 314308
E-mail: ashur.dostiev@gmail.com

Kobilov Isok Ishmamatovich
Candidate of Medical Sciences, Assistant of the Department of General Surgery № 1, Avicenna Tajik State Medical University
ORCID ID: 0000-0003-1612-6559
SPIN-код: 5939-2697
Author ID: 1106541
E-mail: kabilovisok@mail.com

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from companies manufacturing medications and medical equipment

Conflicts of interest: No conflict

Address for correspondence:

Ali-Zade Sukhrob Gaffarovich
Candidate of Medical Sciences, Associate Professor of the Department of Surgical Diseases № 1, Avicenna Tajik State Medical University

734003, Republic of Tajikistan, Dushanbe, 139 Rudaki Ave.

Tel.: +992 (928) 217755

E-mail: suhrob_a@mail.ru

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