Document Detail

Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical therapies for acute abdomen: follow-up of a prospective trial.
MedLine Citation:
PMID:  15529189     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: The objective of this study was to determine the long-term outcome of laparoscopic and open therapies for acute abdomen, and to assess the patients postoperative quality of life, with special attention to adhesions. METHODS: A follow-up study was conducted from June through December 2001 of a case-control trial of laparoscopic and open surgical treatment in patients with acute abdomen. Mean (median) duration of follow-up was 35.9 months (32.5) for the laparoscopic group (L) and 40.7 months (38.5) for the open group (O). A total of 284 (92%) of the original 310 study patients (108 L and 202 O) were contacted. Twenty-eight (9%) were confirmed to be dead. From the remaining 256 patients (131 men and 125 women, mean age [+/- SD] 38.9 +/- 19.9 years), we enrolled 153(67 L and 91 O) in the follow-up. The main outcome measures were frequency of relapse requiring treatment, frequency of reoperations, incidence of adhesion ileus and incisional hernia, distant morbidity and mortality, satisfaction with therapy, and Gastrointestinal Quality of Life Index (GQLI) scores. RESULTS: The morbidity and mortality rates, readmission rates, incisional hernia rates, and scores for long-term quality of life were the same in both groups. The reoperation rate was significantly higher among L patients, but there were significantly fewer episodes of adhesion ileus in this group. Patient satisfaction was 85% in the L group and 73% in the O group (p = NS). CONCLUSIONS: The laparoscopic treatment of patients with acute abdomen offers an outcome comparable to that achieved with the open approach. There were fewer episodes of adhesion ileus in laparoscopic patients. Consequently, the operative treatment of acute abdomen patients by laparoscopy can be recommended.
W D Majewski
Related Documents :
23846869 - Hydrogel dressings for healing diabetic foot ulcers.
17981189 - Randomized clinical trial of mesh versus non-mesh primary inguinal hernia repair: long-...
19692879 - Prospective analysis of 101 consecutive cases of laparoscopic cholecystectomy for acute...
10773129 - Laparoscopic hernioplasty versus conventional hernioplasty (shouldice): results of a pr...
16368489 - Comparative evaluation of gastrointestinal transit and immune response between laparosc...
10931019 - Laparoscopic compared with open methods of groin hernia repair: systematic review of ra...
23999109 - Influence of intramedullary stress on cervical spondylotic myelopathy.
10807829 - Successful talc slurry pleurodesis in patients with nonmalignant pleural effusion.
11723869 - Alpha adrenergic and serotonergic agents in the treatment of spastic hypertonia.
Publication Detail:
Type:  Journal Article     Date:  2004-11-11
Journal Detail:
Title:  Surgical endoscopy     Volume:  19     ISSN:  1432-2218     ISO Abbreviation:  Surg Endosc     Publication Date:  2005 Jan 
Date Detail:
Created Date:  2005-03-17     Completed Date:  2006-04-26     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  8806653     Medline TA:  Surg Endosc     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  81-90     Citation Subset:  IM    
Department of General and Transplantation Surgery and Faculty of Nursing, Pomeranian Medical University, Szczecin, Poland.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Abdomen, Acute / mortality,  surgery*
Aged, 80 and over
Follow-Up Studies
Laparoscopy / adverse effects*
Middle Aged
Prospective Studies
Quality of Life*
Survival Rate
Time Factors
Tissue Adhesions / epidemiology,  etiology*

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

Previous Document:  Carbon dioxide inhibits the growth rate of Staphylococcus aureus at body temperature.
Next Document:  Radiofrequency tissue ablation in an experimental model of grade IV renal trauma: a preliminary repo...