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Experience of laparoscopic management in 100 patients with acute abdomen.

Authors :
Ahmad TA
Shelbaya E
Razek SA
Mohamed RA
Tajima Y
Ali SM
Sabet MM
Kanematsu T
Source :
Hepato-gastroenterology [Hepatogastroenterology] 2001 May-Jun; Vol. 48 (39), pp. 733-6.
Publication Year :
2001

Abstract

Background/aims: The decision to operate on a patient with acute abdominal pain comes to the mind of the surgeon if routine investigations fail to identify the cause. A negative laparotomy may have complications, while laparoscopy appears to be a valuable way to improve the accuracy of diagnosis of acute abdominal pain and offers a promising modality of treatment.<br />Methodology: The study included 100 patients with provisional diagnosis of acute abdomen after clinical examination and conventional diagnostic aids. All the patients have been subjected to diagnostic laparoscopy.<br />Results: Eight cases (8%) were managed by laparotomy following diagnosis by laparoscope (disturbed ectopic pregnancy), while 92 cases (92%) were managed laparoscopically which resulted in 81 cases (81%) of successful laparoscopic procedure (31 appendectomies, 19 cholecystectomies, 12 ovarian cyst accident, and others) and 11 cases (11%) were converted to open surgery (4 gallbladder empyema, 2 appendicular mass, 2 intestinal obstruction, and others). Postoperative complications were two cases of wound infection managed conservatively (perforated appendix). The postoperative follow-up for six months was uneventful.<br />Conclusions: Laparoscopic management of acute abdomen is a safe and effective method with the advantages of small scar, short hospital stay and early recovery.

Details

Language :
English
ISSN :
0172-6390
Volume :
48
Issue :
39
Database :
MEDLINE
Journal :
Hepato-gastroenterology
Publication Type :
Academic Journal
Accession number :
11462915