Introduction. Peritoneal adhesions disease is one of the difficult and unsolved problems of current abdominal surgery. In most cases, acute adhesive obstruction requiring surgery. Laparoscopic adhesiolysis in acute obstruction is rarely carried out, this issue requires further study and analysis.
Purpose. Researching the benefits and dangers of laparoscopic adhesiolysis in acute obstruction.
Materials and methods. Results of treatment of 175 patients with acute intestinal obstruction were analysed.
Results. Laparoscopic technology has provided an opportunity for elimination of adhesive obstruction in 56 patients. The operation from 15 minutes to 65 minutes. The advantages of laparoscopic elimination were low trauma, mild pain on the first day after surgery reatment, 8–16 hours restored motility, rapid rehabilitation of patients.
Laparoscopic technology is absolutely contraindicated in end-point acute heart failure and the presence of extensive scarring of the anterior abdominal wall.
Conclusions. 1. Laparoscopy and laparoscopic adhesiolysis were highly effective in the diagnosis and treatment of acute adhesive intestinal obstruction.
2. The advantages of laparoscopic adhesiolysis were low trauma, lack of typical complications of laparotomy and quick rehabilitation of patients, which reduce recurrence of adhesive process.
3. We recommend to start treating all cases of acute intestinal obstruction at the beginning of the pathological process of diagnostic laparoscopy followed by laparoscopic adhesiolisys, if it is possible.