Clinical Research Directory

Inclusion Criteria: All patients with clinical, ultrasound, CT, or tomographic adhesive small bowel obstruction. If obstruction is not relieved by conservative methods (nasogastric tube, NGO) in accordance with international guidelines, including impaired passage of contrast (barium, Gastrografin), if it is not passed into the intestine within 8 hours (48-hour conservative treatment without Gastrografin® is permitted if Gastrografin® is contraindicated (e.g., due to allergy) or is unavailable). Exclusion Criteria: * Severe and septic clinical peritonitis, indicating urgent intervention * Confirmed or suspected peritoneal carcinosis * Previous open surgery for endometriosis * Active malignancy diagnosed or in remission of the abdominal cavity for less than 10 years * Radiation therapy to an earlier abdominal region 4 or more previous open abdominal surgeries (excluding cesarean section) * Suspected other cause Obstructions other than adhesions on CT * Previous surgery on the aorta or iliac vessels via laparotomy * Crohn's disease * Anesthetic contraindication for laparoscopy * Lack of informed consent Age under 18 or over 90 years Pregnancy over 12 weeks