Since laparoscopic adhesiolysis was performed first in 1933 by Fevers, great interest has been generated by the recent development of laparoscopic surgery. 59 cases of the adhesiolysis were performed at Sung-Ae Hospital, Kawng-Myoung Sung-Ae
Hospital
from August, 1991 to September, 1994. Laparoscopic adhesiolysis compared 33 of the cases (55.9%) and conventional adhesiolysis was 26 of the cases (44.1%). We reviewed the laparoscopic adhesiolysis and compared it with conventional adhesiolysis.
@ES The results of the study were obtained as follows:
@EN 1) Age distribution was similar between the two groups. The male to female ratio of laparoscopic adhesiolysis groups was 1:1.54 and that of conventional adhesiolysis groups was 1:0.57.
2) The shorter operative time (mean 73 minutes versus 104 minutes) was required to perform laparoscopic adhesiolysis rather than conventional adhesiolysis.
3) There were 4 complications (except bowel injury, 13%) in the laparoscopic adhesiolysis groups and, 7 (26%) in the conventioal adhesiolysis groups, but there was no serious complication in th elaparoscopic cases, such as requiring reoperation.
4) In the 33 cases of laparoscopic adhesiolysis, 3 cases were converted to open, because of bowel perforation by the trocar and severe adhesion and bleeding.
5) The patients who underwent laparoscopic adhesiolysis were discharged from the hospital (mean 7.8 days versus 11.3 days) more earlier than those treated patients by conventional adhesiolysis.
We concluded that the advanced techniques of intraabdominal endoscopic surgery and selection of patients were important factors f laparoscopic adhesiolysis. Laparoscopic surgery in postoperative adhesion is thought to have significantly less
postoperative pain, shorter hospital stays, and more rapid return to normal activity than conventional adhesiolysis but it needs further follow up after laparoscopic adhesiolysis.
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