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Publisher: Peytchinski Publishing Ltd.
ISSN: 1312-773X (Online)
Issue: 2019, vol. 25, issue4
Subject Area: Medicine
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DOI: 10.5272/jimab.2019254.2843
Published online: 16 December 2019
Original article
J of IMAB. 2019 Oct-Dec;25(4):2843-2846;
SPECIFIC FEATURES AND CAPABILITIES OF EMERGENCY LAPAROSCOPY IN THE ACUTE NON-TRAUMATIC ABDOMEN
Konstantin Kostov
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Department of General, Visceral and Emergency Surgery, University Multiprofile Hospital for Active Treatment and Emergency Medicine “N. I. Pirogov” – Sofia, Bulgaria.
ABSTRACT:
Purpose: The purpose of this study is to analyze the role of emergency laparoscopy to provide the diagnosis in patients with history of acute abdominal pain, where physical examination and diagnostic tests are unrevealing-unclear emergency cases. Also important is to demonstrate the clinical indications as well as the results of urgent laparoscopic surgery in acute abdominal diseases.
Material and Methods: A total of 756 patients with a diagnosis of the acute non-traumatic abdomen were hospitalized for a period of two years from 1.1.2014 to 1.1.2016 in the Department of General, Visceral and Emergency Surgery at UMHATEM "Pirogov". Of these, women were 402 (53.17%), men 354 (46.83%).The age in this retrospective analysis varied from 18 to 79 years (average 51.3).
Results: Patients divided into 3 groups by suspected diagnosis.
Operations for acute abdomen in group I (711 patients-94.05%) include inflammatory disease-acute cholecystitis, acute appendicitis, ruptured ovarian cyst and acute pancreatitis. Diagnostic accuracy of laparoscopy was 100%.
A total of 26 patients(3.44%) with perforated abdominal viscus (group II) were operated laparoscopically. Diagnostic accuracy of laparoscopy was also 100%.
Of the 19 operated patients (2.51%) for acute intestinal obstruction and mesenteric ischaemia(group III), women were 7, male 12. Diagnostic accuracy of laparoscopy was 100%.
Conclusions: Laparoscopy provided a diagnosis in a large number of patients. It is a very good diagnostic and therapeutic tool. It should be a first-line surgical investigation for undiagnosed abdominal pain with no specific etiology.
Keywords: acute non-traumatic abdomen, peritonitis, approach, conventional surgery, laparoscopy,
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Please cite this article as: Kostov K. Specific features and capabilities of emergency laparoscopy in the acute non-traumatic abdomen. J of IMAB. 2019 Oct-Dec;25(4):2843-2846.
DOI: 10.5272/jimab.2019254.2843
Correspondence to: Konstantin Kostov, MD, PhD; 3rd Surgical Clinic, UMHATEM “N. I. Pirogov”; 21, Totleben Blvd., 1606 Sofia, Bulgaria; E-mail: dr.k.kostov@gmail.com
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Received: 18 March 2019
Published online: 16 December 2019