Study of role of laparoscopy in acute abdomen
DOI:
https://doi.org/10.7439/ijbr.v6i6.2188Abstract
Study regarding role of laparoscopy in acute abdomen was conducted at Shree Chhatrapati Shivaji Maharaj Sarvopachar Rugnalaya, Solapur during the period from May 2004 to November 2006. Patients of both sex and all age groups were included in the study. A total 30 patients were studied and results were as tabulated and analysed. In this study, total laparoscopic management was possible in 23 cases (76.7%) while laparoscopy assisted surgery were done in 4 cases (13.3%). In this study, 5 cases presented as adhesive small bowel obstruction, 1 with inflamed Meckels diverticulum and 1 as case of ileoileal intussusception. All these findings were missed on radiological investigations, but was diagnosed accurately on laparoscopy. Laparoscopic tratment was done in 9 cases presented as acute abdomen due to intestinal obstruction. This incidence is equal to that of acute cholecystitis. Of these, 5 patients (55.6%) were due to post operative adhesions.We conclude that laparoscopy is valuable, safe feasible and accurate alternative for management of patients of acute abdomen. It is very useful for final diagnosis of patients of acute abdomen. Even negative laparotomies can be avoided using laparoscopy. Therapeutic laparoscopy can be accomplished in majority of patients of acute abdomen.Downloads
References
Waclawiczek HW, Schneeberger V, Bekk A, Dinnewitzer A, Sungler P Boeckl O. Value of diagnostic laparoscopy and minimal invasive procedures in acute abdomen. Zentrallbl Chir. 1997; 122(12):1108-12.
Scott HJ, Rosin RD. The influence of diagnostic and therapeutic laparoscopy on patients presenting with an acute abdomen. J R Soc Med. 1993 Dec; 86 (12):699-701.
Siu WT, Leong HT, Law BK, Chau CH, Li, AC, Fung KH, Tai YP, Li MK, Laparoscopic repair of perforated peptic ulcer a randomized controlled trial. Ann Surg 2002; 235; 313-319.
Lorand I. Molinier N, Sales JP, Douchez F, Gayral F. Result of laparoscopic treatment of perforated viscus. Chirurgiae. 1999 Apr. 124 (2) : 149-53.
Liauw J J. Cheah WK. Laparoscopic management of acute small bowel obstruction. Asian J Surg 2005 Jul. 28 (3) : 185-8.
Benoist S, De Watte ville JC, Gayrat F. Role of celioscopy in acute obstructions of small intestine. Gastroenterol clin Biol. 1996; 20(4) 357-61.
Navej, Tassetti, Scotry, Mutter, Guiat, Evrard & Marescaux Laparoscopic management of acute peritonitis. British Journal of Surgery. 1998. 85: 32.
Zantut LF, Zantut PE, Rodrigues junior AJ, Birolini D. Comparative analysis of the diagnostic value of ultrasound and laparoscopy in acute abdomen. AMB Rev Assoc Med. Bras. 1991 Jul-Sep; 37 (3):143-9.
Downloads
Published
Issue
Section
License
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgment of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgment of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- An author must submit Copyright form After acceptance of the article.