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Laparoscopic Lysis of Adhesions for Closed Loop Small Bowel Obstruction

Jade Refuerzo, BS; Nicole B. Cherng, MD
UMass Memorial Medical Center

1. Introduction

2. Exploration of the Abdomen

  1. Running the Bowel to Identify Obstruction Transition Point
  2. Additional Trocar Placement

3. Identification of Transition Point

4. Lysis of Adhesive Band

5. Running the Bowel and Lysis of Additional Adhesions

6. Final Inspection of the Abdomen

  1. Aspiration of Free Fluid

7. Post-op Remarks