A Study of Postoperative Adhesions by Laparotomy and Laparoscopic Procedures at a Tertiary Care Hospital

Abdominal operations result in random and unpredictable adhesion formation. Postoperative adhesion may contribute torecurrent episodes of small bowel obstruction, chronic pain abdomen or both. Laparotomy and laparoscopy are the modes used to treat the adhesion related complications.

To study the adhesion related complications and treat the same by means of laparotomy and laparoscopicprocedures.

About 50 cases from March 2014 to February 2015 were studied in Bhaskar General Hospital, Yenkapally, Moinabad (M) Ranga Reddy (District). Patients who underwent some surgical procedures before presenting with adhesions related complications like small bowel obstruction and chronic pain abdomen were considered. Patients who required intervention were treated with surgical procedures. Patients who presented with obstructive features underwent laparotomy and who presented with chronic pain abdomen underwent laparoscopy.

All the 50 patients who were in our study had undergone some conventional surgeries in previous instance. No patient in ourstudy had undergone laparoscopy in previous instance. Appendicectomy (40%), lower segment cesarean section (22%) were the common surgeries which resulted in adhesions. Thirty-four patients in our study presented with obstructive features, underwent laparotomy and adhesiolysis. Sixteen patients in our study underwent laparoscopy for chronic pain abdomen. Both surgeries were safe and resulted in recovery of almost all patients.

Conventional surgeries leads to more adhesion formation than the minimal invasive procedures. Both laparotomy and laparoscopy can be safely used as mode of treatment of adhesion related complications.