| Experience of laparoscopic management in 100 patients with acute abdomen. | |
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MedLine Citation:
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PMID: 11462915 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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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:
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Type: Journal Article |
Journal Detail:
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Title: Hepato-gastroenterology Volume: 48 ISSN: 0172-6390 ISO Abbreviation: Hepatogastroenterology Publication Date: 2001 May-Jun |
Date Detail:
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Created Date: 2001-07-20 Completed Date: 2002-01-16 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 8007849 Medline TA: Hepatogastroenterology Country: Greece |
Other Details:
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Languages: eng Pagination: 733-6 Citation Subset: IM |
Affiliation:
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Department of Surgery II, Nagasaki University School of Medicine, 1-7-1 Sakamoto, Nagasaki City 852-8501, Japan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Abdomen, Acute
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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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