This document summarizes a study on laparoscopic adhesiolysis for small bowel obstruction. Key points include: - Laparoscopic adhesiolysis has advantages over open surgery like less pain, quicker recovery, and fewer adhesions. - Patient selection is important, and factors like bowel diameter >4cm or distal complete obstruction increase risk of conversion. - The open technique for initial trocar insertion is recommended to avoid injury to adherent bowel. - Adhesiolysis requires careful sharp dissection and avoidance of cautery to prevent new adhesions. - Findings like perforated bowel or dense adhesions often require conversion to open surgery.

1. Tips &Tricks in Laparoscopic Adhesiolysis

9. Laparoscopic adhesiolysis for small bowel obstruction Alexander Nagle, M.D., Michael Ujiki, M.D., Woody Denham, M.D., Kenric Murayama, M.D.* The American Journal of Surgery 187 (2004) 464–470

19. Laparoscopic adhesiolysis for small bowel obstruction Alexander Nagle, M.D., Michael Ujiki, M.D., Woody Denham, M.D., Kenric Murayama, M.D.* The American Journal of Surgery 187 (2004) 464–470

20. Laparoscopic adhesiolysis for small bowel obstruction Alexander Nagle, M.D., Michael Ujiki, M.D., Woody Denham, M.D., Kenric Murayama, M.D.* The American Journal of Surgery 187 (2004) 464–470

24. Laparoscopic adhesiolysis for small bowel obstruction Alexander Nagle, M.D., Michael Ujiki, M.D., Woody Denham, M.D., Kenric Murayama, M.D.* The American Journal of Surgery 187 (2004) 464–470

56. Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction C. Wullstein and E. Gross British Journal of Surgery 2003; 90 : 1147–1151

57. Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction C. Wullstein and E. Gross British Journal of Surgery 2003; 90 : 1147–1151

59. Laparoscopic compared with conventional treatment of acute adhesive small bowel obstruction C. Wullstein and E. Gross British Journal of Surgery 2003; 90 : 1147–1151

68. Results after laparoscopic lysis of adhesions and placement of Seprafilm for intractable abdominal pain L. Khaitan, S. Scholz, H. L. Houston, W. O. Richards Surg Endosc (2003) 17: 247–253

101. Laparoscopic adhesiolysis for chronic abdominal pain is not indicated D. Swank* International Congress Series 1279 (2005) 85– 89

109. Laparoscopic adhesiolysis for recurrent small bowel obstruction: long-term follow-up Yoshiaki Sato, MD, Endoscopy 0016-5107/2001/ 1. A, Laparoscopic view of single band adhesion. B, Laparoscopic view of convoluted mass of adherent bowel.

110. Laparoscopic adhesiolysis for recurrent small bowel obstruction: long-term follow-up Yoshiaki Sato, MD, Endoscopy 0016-5107/2001/

121. Laparoscopic management of acute small-bowel obstruction I. M. Ibrahim, F. Wolodiger, B. Sussman, M. Kahn, F. Silvestri