Document Detail


Experience of laparoscopic management in 100 patients with acute abdomen.
MedLine Citation:
PMID:  11462915     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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. 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. 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. CONCLUSIONS: Laparoscopic management of acute abdomen is a safe and effective method with the advantages of small scar, short hospital stay and early recovery.
Authors:
T A Ahmad; E Shelbaya; S A Razek; R A Mohamed; Y Tajima; S M Ali; M M Sabet; T Kanematsu
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  48     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2001 May-Jun
Date Detail:
Created Date:  2001-07-20     Completed Date:  2002-01-16     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  733-6     Citation Subset:  IM    
Affiliation:
Department of Surgery II, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki City 852-8501, Japan.
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MeSH Terms
Descriptor/Qualifier:
Abdomen, Acute / etiology,  surgery*
Adolescent
Adult
Aged
Appendicitis / diagnosis,  surgery
Diagnosis, Differential
Female
Follow-Up Studies
Gastrointestinal Diseases / diagnosis,  surgery
Gastrointestinal Neoplasms / diagnosis,  surgery
Humans
Laparoscopy*
Male
Middle Aged
Ovarian Cysts / diagnosis,  surgery
Postoperative Complications / etiology
Pregnancy
Pregnancy, Ectopic / diagnosis,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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