Emergency laparoscopy

Berci, George; Sackier, Jonathan M.; Paz-Partlow, Margaret

doi:10.1016/0002-9610(91)90590-a

Cited by 108 publications

(41 citation statements)

References 7 publications

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“…Such limitations were also described by LIVINGSTON et al (1992) andIVATURY et al (1993). According to BERCI et al (1991), the visualization of some areas can be realized through placement of a second trocart. GOMEL (1976);NAGY &JAMES (1989) andGOMES (1993) described the laparoscopy technique as a secure and succesfull method in the visualization of the intracavitary structures.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopy hepatic biopsy through cauterization

et al. 2003

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Hepatic biopsy was realized through laparoscopy with simultaneous cauterization in the present study, whose principal aim was to evaluate the efficacy of the applied method and to study its effects in the liver of healthy dogs. Furthermore, we tried to verify the main hematological and chemistry profile alterations related to the hepatic function, and to investigate the viability of the fragments collected by histopathology. To attain this objective, 21 clinically healthy dogs, weighing between 10 and 15kg were submitted to hepatic biopsy with forceps connected to the cautery. Cautery was performed by applying radiofrequency energy at 45 watts. Forty-two hepatic biopsies through laparoscopy were conducted in the animals. At group I one hepatic fragment per animal was collected, at group II two hepatic fragments per animal were collected, and at group III three fragments were collected. Hematocrit and alanine-aminotransferase measurements were employed to evaluate the animals at the pre-operative period, at four and six hour post-operative, and at day 30 post-operative. The results revealed that the procedure was safe and effective for hepatic biopsy in dogs. There were no clinical alterations related to the technique. The fragments collected were viable for histopathology. Hepatic biopsy through laparoscopy with simultaneous cauterization is an effective and usefull method in dogs.Key words: electrocautery, dog, surgery, diagnosis. RESUMOEste estudo visou avaliar a eficácia do método de biópsia hepática laparoscópica por cauterização e estudar os seus efeitos no fígado de cães sadios. Além disso, procurou-se verificar as principais alterações hematológicas e bioquímicas-séricas relacionadas às funções hepáticas e averiguar a viabilidade dos fragmentos colhidos por exame de histopatologia. Para tanto, 21 cães clinicamente sadios pesando entre 10 e 15kg, foram separados em três grupos de sete animais cada grupo. As amostras foram retiradas da borda no lobo lateral esquerdo, utilizando-se pinça de biópsia conectada a eletrocautério na freqüência de 45W. Ciência Rural, v. 33, n. 4, jul-ago, 2003. avaliados nos períodos pré, pós-operatório (tempos 4h e 6h) e aos 30 dias de evolução. Os resutados obtidos revelaram que não houve alterações hematológicas, bioquímicas e histopatológicas relacionadas à técnica. Não foram observadas alterações significativas nos parâmetros estudados, sugerindo que não ocorreram alterações hepáticas que comprometessem a função do órgão.

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Section: Discussionmentioning

confidence: 99%

Laparoscopy hepatic biopsy through cauterization

et al. 2003

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“…Many studies throughout the 1970s and 1980s proved laparoscopy effective in detecting intraabdominal injuries [74,75,76,77,78]. These studies suggest laparoscopy may serve a role in establishing diagnosis in abdominal trauma cases where peritoneal lavage has not been definitive.…”

Section: Laparoscopic Approach To Splenic Cysts Aneurysms and Traumamentioning

confidence: 98%

Laparoscopic surgery of the spleen: state of the art

Park

Targarona

Trías

2001

Langenbeck's Arch Surg

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Although LS continues to pose certain technical challenges--such as management of the massive spleen, specimen extraction, and identification of remotely located accessory spleens--its advantages over OS in terms of faster postoperative recovery, shorter hospital stay, and equivalent or lower perioperative morbidity are now well established. Indications for LS and more laparoscopic spleen-conserving surgery are likely to broaden.

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“…Since then, Gazzaniga et al 5 noted that laparoscopy is useful for determining the need for laparotomy. In 1991, Berci et al 6 reported that he had reduced the number of nontherapeutic laparotomy performed for hemoperitoneum by 25% through the use of laparoscopy in 150 patients with blunt abdominal trauma. Chol et al reported reduced negative and nontherapeutic laparotomy rates in this identified population.…”

Section: Introductionmentioning

confidence: 99%