Efficient and Safe Small-Bowel Adhesiolysis

Klasen, Jennifer Margaretha; Wenning, Anna Silvia; Storni, Federico; Angst, Eliane; Gloor, Beat (2014). Efficient and Safe Small-Bowel Adhesiolysis. Digestive surgery, 31(4-5), pp. 324-326. Karger 10.1159/000368663

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Small-intestine adhesiolysis can be very time consuming and may be associated with bowel wall damage. The risk for injuries to the small or large bowel resulting in increased morbidity and costs is considerable. Both efficient and gentle dissection of adhesions is important in order to avoid intraoperative perforation or, worse, postoperative intestinal leaks. We present a technique using drops of body-warm isotonic saline solution to create an edematous swelling of the adhesions. This procedure not only protects the bowel from cooling and drying, but also simplifies the dissection and, thus, lowers the risk of intestinal lesions.

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