After exclusion of indications for an emergency operation, conservative treatment is performed up to 12 hours from the moment of admission. Each patient receive blood test, blood lactate investigation, blood biochemistry, X-ray of the abdomen, ultrasound and CT on the admission. Each patient receive water-soluble contrast in 3 h after admission. In case of of clinical and radiologic signs of obstruction in 12 h after admission, surgery is performed. On the first stage of surgical treatment laparoscopic adhesiolysis is performed. If it is impossible to eliminate the cause of obstruction by laparoscopic technique laparotomy is performed.

After exclusion of indications for an emergency operation, conservative treatment is performed up to 48 hours from the moment of admission. Each patient receive blood test, blood lactate investigation, blood biochemistry, X-ray of the abdomen, ultrasound and CT on the admission. Each patient receive water-soluble contrast 3 h after admission. In case of present of obstruction and absence of contrast in colon in 36 h after intake (48 h after admission) a surgery is perform. On the first stage of surgical treatment laparoscopic adhesiolysis is performed. If it is impossible to eliminate the cause of obstruction by laparoscopic technique laparotomy is performed.

Method of video laparoscopic operation:

• Open access in the left upper quadrant of the anterior abdominal wall,
• Installation of trocars, depending on the prevalence of the adhesion process
• Assessment of the peritoneal adhesion index
• Detection of the asleep gut
• Detection of obstacle area
• Removing the obstacle without trying to completely eliminate the adhesion process in the abdominal cavity

If there is no possibility to eliminate the cause of intestinal obstruction laparoscopically laparotomy is performed.

No of patients with success of conservative treatment

12 months readmission rate

Number of patients who has dead in 30 days after admission