The goal of the study was to evaluate efficacy of endovideosurgical procedures in 96 patients with acute bowel obstruction: 59 (61.4%) women and 37 (38.6%) men aged 19-62 years old, 32±1.6 years old on average. Among them 11 previously underwent gynecologic surgeries (4 - tubectomy, 3 - adnexectomy, 3 - ovarian resection, 1 - hysterectomy), 5 patients underwent appendectomy, 10 - midline and supramedian laparotomy (cholecystectomy in 7, abdominal injury in 2, perforated ulcer in 1 patient). In the course of the surgery we observed different types of adhesions and classified them into gross, cord-like, compressing the lumen of the bowel; plain visceroparietal, viscerovisceral and compound adhesions. Endovideosurgical techniques enabled in all cases to ascertain diagnosis, type and location of the obstruction, assess viability of the bowel, presence of peritonitis and establish possibility of adequate miniinvasive procedure. As a result diagnostic stage significantly reduced as well as rate of complications and postoperative hospital stay. All patient were activated on 1-2 postoperative day. Hemorrhage occurred in 8 (8.3%) patients from epiploic vessels that were clipped. In the early postoperative period wound infection developed in 7 (7.2%) cases. Patients were discharged on 5-7 day. There were no deaths.