PMC3019036_01
Laparoscopic treatment of pelvic peritonitis
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F3
The most frequent cause of obstruction of a pre-operated abdomen is the intra-peritoneal adherences  (Fig 3,Fig 4).  An 'old' obstruction however, due to the  intense distension of the abdomen that it generates, represents an obstacle to the laparoscopic method, because  of the lack of operating space and the high risk of intestine lesions.
Laparoscopic untwisting of the volvulus
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F4
The most frequent cause of obstruction of a pre-operated abdomen is the intra-peritoneal adherences  (Fig 3,Fig 4).  An 'old' obstruction however, due to the  intense distension of the abdomen that it generates, represents an obstacle to the laparoscopic method, because  of the lack of operating space and the high risk of intestine lesions.
PMC3019036_02
Intestinal adherences with bowl obstruction
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F5
On the contrary, it is not recommended to treat patients with severe physical  trauma (road accident casualties, sport injuries, 'white weapons' aggressions) through  minimally invasive techniques (Fig 5).