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[Emergency laparoscopy. A 20-year experience].
- Source :
-
Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva [Rev Esp Enferm Dig] 1995 Apr; Vol. 87 (4), pp. 305-8. - Publication Year :
- 1995
-
Abstract
- We revised 7988 laparoscopies over twenty years. Three hundred and ninety three were urgent laparoscopies: 325 patients with acute spontaneous abdomen and 68 acute traumatic abdomen. Emergency laparoscopy is made in patients with, both spontaneous and traumatic acute abdomen, when diagnosis is not made in 8 hours with the usual clinical and imaging methods. Acute diffuse peritonitis was the commonest finding in the first group (21%) and splenic rupture in the traumatic group (34%). There were two severe complications (0.5%): pulmonary oedema in a patient with myocardial disease and a respiratory failure in a old patient, which were resolved. We had two deaths related to laparoscopic diagnosis: massive mesenteric thrombosis and fecal peritonitis. There are few contraindications and tolerance is very good. This study shows a sensitivity of 98%, a specificity of 90%, a predictive positive value greater than 98% and a negative predictive value of 100%. In summary, the present study demonstrates that emergency laparoscopy is a effective diagnostic method in acute abdominal pain of uncertain aetiology.
- Subjects :
- Abdomen, Acute etiology
Abdominal Pain diagnosis
Abdominal Pain etiology
Adolescent
Adult
Aged
Aged, 80 and over
Child
Diagnosis, Differential
Emergencies
Endometriosis diagnosis
Female
Humans
Male
Middle Aged
Ovarian Cysts complications
Ovarian Cysts diagnosis
Ovarian Neoplasms complications
Ovarian Neoplasms diagnosis
Pregnancy
Pregnancy, Ectopic diagnosis
Salpingitis diagnosis
Abdomen, Acute diagnosis
Abdominal Injuries diagnosis
Laparoscopy
Subjects
Details
- Language :
- Spanish; Castilian
- ISSN :
- 1130-0108
- Volume :
- 87
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva
- Publication Type :
- Academic Journal
- Accession number :
- 7794638