Comparison between the results of laparotomy and laparoscopy in adhesive intestinal obstruction and introduce the use of laparoscopy to the emergency setting in Asyut University Hospital.

Adhesive Intestinal obstruction is one of the most common complications after any abdominal surgery.

Adhesions account for 75% of causes of intestinal obstruction. laparoscopic adhesiolysis recently increase in frequency over open adhesiolysis but there is no definit evidence of its superiority. In term of length of hospital stay and morbidity.

adhesive bowel obstruction mainly managed by conservative treatment but some refractory cases needs surgical intervention In this study we will evaluate feasibility and efficacy of using laparoscop in adhesiolysis over open approach .

Inclusion Criteria:

• any male or female above 18 years has adhesive Intestinal obstruction
• patient fulfilled the criteria to participate but operated before time of study if adequate data available
• patient in which conservative management is failed

Exclusion Criteria:

• othe casues of intestinal obstruction (other than adhsions)
• shocked patient
• cardiovascular diseases
• coagulopathy
• liver cirrhosis
• intracranial diseases

Any case of intestinal obstruction and failed medical treatment and for surgery either open or laparoscopic adhesiolysis