Open surgery for several surgeons still remains the safest and most effective operative approach, although laparoscopic approach appears to be safe and feasible in the hands of experienced laparoscopic surgeons and in selected patients, because there are less overall complications, ARRY-438162 prolonged ileus rates and pulmonary complication associated with its use. Prevention with hyaluronic acid-carboxycellulose membrane or icodextrin,
has actually gained a capital relevance. Adhesions quantification and scoring is a promising development tool for further research towards diagnosis and management of ASBO and peritoneal adhesions prevention. References 1. Parker C, Ellis H, Moran BJ, et al.: Postoperative adhesions: ten-year followup of 12,584 patients undergoing selleck inhibitor lower abdominal surgery. Dis Colon Rectum 2001, 44:822–830.PubMedCrossRef 2. Ellis: The magnitude of adhesion related problems. Ann Chir Selleckchem SRT2104 Gynaecol 1998, 87:9–11.PubMed 3. Zielinski MD, Bannon MP: Current management of
small bowel obstruction. Adv in Surg 2011, 45:1–29.CrossRef 4. Galinos B, Branco BC, Beat S, Lydia L, Kenji I, Demetrios D: The incidence and risk factors of post-laparotomy adhesive small bowel obstruction. J Gastrointest Surg 2010, 14:1619–1628. doi:10.1007/s11605–010–1189–8CrossRef 5. Reschef A, Hull TL, Kiran RP: Risk of adhesive obstruction after colorectal surgery: the benefits of the minimally invasive approach may extend well beyond the perioperative period. Surg Endosc 2013, 27:1717–1720. doi:10.1007/s00464–012–2663-zCrossRef 6. Parker C, Wilson MS, Menzies D, et al.: The SCAR-3 study: 5-year adhesionrelated readmission risk following lower abdominal surgical procedures. Colorectal Dis 2005, 7:551–558.PubMedCrossRef 7. Stewart RM, Page CP, Brender J, et al.: The incidence and risk of early postoperative small bowel obstruction: a cohort study. Am J Surg 1987, 154:643–647.PubMedCrossRef 8. Howard B, Steven W, Ozeran S: Factors predicting the recurrence of adhesive small-bowel obstruction. Am J Surg 1995,170(4):361–365. 9. Barkan Webster S, Ozeran S: Factors predicting the recurrence of adhesive small-bowel obstruction. Am J Surg 1995, Methane monooxygenase 170:361–365.CrossRef 10. Miller G, Boman J, Shrier
I, Gordon PH: Natural history of patients with adhesive small bowel obstruction. Br J Surg 2000,87(9):1240–1247.PubMedCrossRef 11. Di Saverio S, Tugnoli G, Orlandi PE, Catena F, et al.: A 73-year-old man with long-term immobility presenting with abdominal pain. PLoS Med 2009, 6:e1000092.PubMedCrossRef 12. Obuz F, Terzi C, Sokmen S, Yilmaz E, Yildiz D, Fuzun M: The efficacy of helical CT in the diagnosis of small bowel obstruction. Eur J Radiol 2003,48(3):299–304.PubMedCrossRef 13. Trésallet C, Lebreton N, Royer B, Leyre P, Godiris-Petit G, Menegaux F: Improving the management of acute adhesive small bowel obstruction with CT-scan and water-soluble contrast medium: a prospective study. Dis Colon Rectum 2009,52(11):1869–1876.PubMedCrossRef 14.