Abstract. Adhesive disease (AD) in children is one of the most difficult problems in pediatric surgery [3]. The disease occurs in 5-12% of children [4,12]. The cause of adhesive intestinal obstruction (AIO) is an adhesive process in the abdominal cavity due to previous surgery [1].
AD is characterized by high prevalence and difficulties in diagnosis, which influence the choice of treatment method. Long-term treatment results cannot be considered satisfactory due to the high frequency of re-development of AD. In 64-93% of patients after surgical interventions, adhesions form on the abdominal organs [6,11,14]. The rate of disease recurrence after open surgical interventions reaches 30% [2-4,8], and after repeated operations - 78% [7,10].
In recent decades, indications for laparoscopic interventions in abdominal surgery have been significantly expanded to reduce their invasiveness. This reduces the risk of developing adhesions [3,5,13]. However, the conversion rate to open surgery is about 63%. This leads to an increase in the duration of the operation, the number of postoperative complications, and the financial costs of treatment [6-8,11]. Most often, the need to switch to an open approach is due to the impossibility of safe laparoscopic adhesiolysis in patients with extensive adhesions in the abdominal cavity and overly stretched intestinal loops [4,6,8,14].
References:
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