COMPARATIVE EFFECTIVENESS OF LAPAROSCOPIC AND OPEN ADHESIOLYSIS IN ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION

COMPARATIVE EFFECTIVENESS OF LAPAROSCOPIC AND OPEN ADHESIOLYSIS IN ACUTE ADHESIVE SMALL BOWEL OBSTRUCTION Mustafakulov Ishnazar Boynazarovich, Choriev Khaitmurod Kultura ugli, Djuraeva Zilola Aramovna Samarkand State Medical University and Termez Branch of Tashkent State Medical University https://doi.org/10.5281/zenodo.19093133 Abstract: Acute adhesive small bowel obstruction (ASBO) is a leading cause of emergency abdominal surgery. The optimal approach (laparoscopic or laparotomic) remains controversial due to differences in the severity of adhesions, the risk of bowel injury, and the need for resection. To compare the immediate outcomes of laparoscopic and open adhesiolysis for ASBO. The surgical design, small bowel resection rate, need for conversion, postoperative complications, and clinical outcomes were assessed. In the study group, videolaparoscopic adhesiolysis was performed in 60.0% of patients, laparoscopic-assisted bowel resection was performed in 26.1%, and conversion to laparotomy was required in 13.9% of cases. In the control group, bowel resection was performed in 48% of patients. The obtained data confirm the effectiveness of laparoscopic technologies with strict patient selection. Laparoscopic adhesiolysis is a promising surgical treatment for OSTKO, reducing the morbidity of the procedure and improving postoperative recovery. However, it requires adherence to selection criteria and readiness for conversion in complicated forms of the disease. Keywords: acute adhesive small bowel obstruction, adhesiolysis, laparoscopy, laparotomy, small bowel resection, complications, conversion.

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