What question did this study set out to answer?

Evaluate the feasibility and effectiveness of laparoscopic management for small bowel obstruction caused by adhesions.

Feasibility of laparoscopy for small bowel obstruction

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Review finds laparoscopy is feasible for small bowel obstruction, highlighting the need for skilled surgeons.

Evaluate the feasibility and effectiveness of laparoscopic management for small bowel obstruction caused by adhesions.
Reviewed international literature from 1980 to 2007 without language restrictions using Medline, Embase, and Cochrane Library.
Analyzed reference lists of key manuscripts and included non-indexed international sources.
Diagnostic laparoscopy feasibility ranges from 60-100%, while therapeutic feasibility is lower at 40-88%.
Laparotomic conversion rates vary from 0 to 52%, influenced by patient selection and surgical experience.
Predictive factors for successful laparoscopic adhesiolysis include limited previous laparotomies and early intervention within 24 hours.

Farinella et al. (2009) studied this question.

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