Abstract
A patient presenting with small bowel obstruction in the presence of an abdominal scar, suggesting that an adhesive band may be present, is an ideal case for a laparoscopic approach. The first step is localization of the site of the initial obstruction. This is accomplished by a thorough physical examination and imaging to identify the area of maximal bowel distention using a plain abdominal X-ray and a CT scan to find a transition point. The laparoscope is inserted on the side opposite to the site of maximal intestinal distension.
This is a preview of subscription content, log in via an institution to check access.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
Author information
Authors and Affiliations
Corresponding author
Additional information
Namir Katkhouda, MD
Professor of Surgery Vice Chairman for Clinical Affairs Chief, Division of General and Laparoscopic Surgery Director, Bariatric Surgery Program
University of Southern California
Keck School of Medicine Department of Surgery
1510 San Pablo St. Los Angeles, CA 90033, USA
Rights and permissions
Copyright information
© 2011 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Katkhouda, N. (2011). Small Bowel Obstruction. In: Advanced Laparoscopic Surgery. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-74843-4_9
Download citation
DOI: https://doi.org/10.1007/978-3-540-74843-4_9
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-540-74842-7
Online ISBN: 978-3-540-74843-4
eBook Packages: MedicineMedicine (R0)