• Carotid Endarterectomy under Regional Anesthesia; Early Results
    Ayman Refaat1, Ahmed EL-Marakby, Ahmed Farghaly2, Hossam ELShamaa3, Mohamed Ibrahim4, Mohamed Hamed Salem5
  • Popliteal Artery Stenting is A Controversial Treatment, A Study Analysis
    Ahmed Gamal Eldin Fouad¹, Ahmed Faraghaly¹, Ahmed Elmarakby¹, Fatma Zeinhom²
  • Catheter-Directed Venous Thrombolysis in Acute Iliofemoral Vein Thrombosis, a Prospective Randomized Controlled Trial
    1Amr Saleh El Bahaey, 2Ahmed Balboula
  • EVAR in Hostile Aortic Neck; indications outside the IFU’s
    Fouad S. Fouad1 and Abdelrahman Mohamed2
  • Clinicopathologic study of Primary Gastric Lymphoma and its Outcome: NCI Experience
    1Mohamed Salama, 1Heba G.M. Mahmoud, 2Marwa Nabil, 1Mohamed Hassan
  • Review of the Surgical Outcome of Locally Advanced Esophageal and Gastroesophageal Junction Cancer after Neoadjuvant Therapy Versus Upfront Surgery: NCI Experience
    1Hebatallah G.M. Mahmoud, 1Mohamed Salama, 1John Wahib, 2Salem Eid, 1Omaya Nassar
  • Stricture after Assisted and Non-Assisted Transanal Pull-through for Classic Hirschsprung’s Disease
    Wael Ahmed Ghanem, Ahmed Bassiouny Radwan
  • Can Distal Abdominal Esophagostomy Replace Gastrostomy in Esophageal Atresia?
    Wael Ghanem
  • Margins in Breast Conserving Surgery: Could We Have Alternatives
    Sherif M. Mokhtar1 , Shady Elghazaly Harb1 , Hossam Hussein2 ,Shady Nabil Mashhour3
  • Resection and Primary Anastomosis without Colonic Lavage in NonMalignant Left Colon Emergency Conditions, Is it a Safe
    Shady Elghazaly Harb, Sherif M. Mokhtar, Sameh Mikhail
  • Role of Diagnostic Laparoscopy in Abdominal Trauma
    Osama G. Fahmy, Osama A. Radwan & Mohamed I. Monier
  • Parallel Endograft (Sandwich Technique) to Treat Aorto-Iliac Aneurysms; Faesibity and Short-Term Outcomes
    Ayman El Samadoni, Haitham A. Eldmarany and Amr El Bahaey
  • Laparoscopic Lavage with Drainage for Hinchey III Diverticulitis without Colonic Resection: A Prospective Study
    Salah M. Raslan MD and Hany M. Elbarbary MD, FRCS, FACS
  • Primary Covered Stent For Management Ofinfrarenalaortic and Aortoiliac Occlusive Disease; Pilot Study
    Ayman El Samadoni1 , Haitham A.Eldmarany2
  • Is C-reactive Protein an Independent Risk Factor for Complication of Laparoscopic Cholecystectomy for Acute Cholecystitis?
    Hamdy A. Elhady
  • Comparative Study between Ultrasound Findings and Intra-operative Findings in Non-traumatic Abdominal Pain
    Hassan A. Abdallah1, Abd-El-Aal A. Saleem1, Osama A. AbdulRaheem1, Mohamed Yousef A2
  • Laparoscopic Approach in Adhesive Acute Small Intestinal Obstruction
    Maged Rihan, MD, MRCS Mohamed M.Raslan ,MD
  • A Prospective Randomized Study Comparing the Use of PaclitaxelCoated PTA Balloon Catheters Versus Plain Balloon PTA Catheters to Treat Stenotic Segments at the Venous Anastomotic Site after Thrombectomy for Thrombosed Prosthetic Vascular Grafts for Dia
    Mohamed Abd El-Monem Abd El-Salam Rizk, MD
  • Assessment of Technical Success and Primary Patency of the Central Veins after PTA Alone Or With Stenting To Treat Patients Having Upper Limb Venous Hypertension after Creation of an Arterio-Venous Access
    Sherif Essam Tawfik MD, Mohamed Abd El-Monem Abd El-Salam Rizk MD, Abd elrahman Mohamed MD
  • Single Anastomosis Duodeno-Ieal Bypass after Sleeve for Metabolic Relapse; Do we Need to Re-sleeve?
    Wael A Jumuah, MD; Yasser El Ghamrini, MD; Karim Sabry Abdel Samee, MD, MRCS (Ed)
  • Angiosome Concept and Impact of a Complete Foot Arch on Endovascular Revascularization of the Foot
    Ahmed Sayed1,2, Hussein Elwan1 , Mostafa Elshal2, Ahmed Taha1,2

    • Laparoscopic Approach in Adhesive Acute Small Intestinal Obstruction

    Maged Rihan, MD, MRCS Mohamed M.Raslan ,MD
    Department of General Surgery, Faculty of Medicine, Cairo University

    Open adhesiolysis through a midline incision was considered to be the standard approach in treating patients with acute adhesive intestinal obstruction. The aim of this study is to evaluate the operative results of the laparoscopic approach in these patients. The study started From December 2013 to June 2016 and included 24 patients who had laparoscopic explorations for acute small intestinal obstruction due to adhesions in Kasr Al Ainy cairo university hospital and Hai Aljameaa hospital (private hospital in Jeddah, Kingdom of Saudi Arabia). These patients were diagnosed by the clinical history, physical examination and imaging studies (X-ray and abdominal CT scan with oral [in cases of partial obstruction] and IV contrast). Patients with marked abdominal distension, peritonitis and/ or severe sepsis were excluded. They were 15 men and 9 women, with a mean age of 52.8±15.7 (25–69). Five patients (20.8%) were converted to open surgery. The surgical outcomes included the operative time, oral intake start day, length of hospital stay and wound complications in the first thirty days. There was a significant difference in favor of laparoscopy in these outcomes between the patients who were managed laparoscopically as compared with patients initially managed laparoscopically but later converted to open surgery. It is concluded that the laparoscopic management is a safe and useful approach in treating patients with acute adhesive small intestinal obstruction. Keywords: Acute intestinal obstruction, Laparoscopy, Adhesiolysis. 

    Full Text