Laparoscopic Lysis of Adhesions

Szomstein, Samuel; Menzo, Emanuele Lo; Simpfendorfer, Conrad; Zundel, Nathan; Rosenthal, Raúl J.

doi:10.1007/s00268-005-7778-0

Cited by 176 publications

(132 citation statements)

References 54 publications

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“…Historically, the presence of hemodynamic instability and/or established coagulopathy, as well as peritonitis, obesity, previous abdominal surgery, pelvic radiotherapy and/or abdominal, and abdominal distention were considered absolute or relative contraindications to elective laparoscopic approach, specially in emergency situations (2,18) . Recently, the increasing of surgeons' experience and the development of new technologies have made possible the laparoscopic approach in patients with previously contraindication to laparoscopy (11,19) .…”

Section: Discussionmentioning

confidence: 99%

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Ghezzi

Moschetti

Corleta

et al. 2010

Arq. Gastroenterol.

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-Context -Laparotomy is the gold standard treatment of patients with intestinal obstruction without response to clinical management. Nowadays, literature has been demonstrating the feasibility of videolaparoscopy in the treatment of intestinal obstruction. Objectives -To report the clinical-epidemiological profile of patients with intestinal obstruction submitted to surgery and verify the presence of contraindications for laparoscopy. Methods -It was done a observational, descriptive and retrospective study including adults patients with intestinal obstruction submitted to surgery at Hospital de Clínicas de Porto Alegre, RS, Brazil, between January of 2004 and October of 2008. Results -It was included 135 patients in the study, with a total of 126 patients submitted to open surgery and 9 to laparoscopy. There was similar distribution between gender and the mean age was 59 years (SD ± 16.9). The most frequent site of obstruction was the small bowel and the most frequent etiology was adhesions. Among the patients submitted to laparotomy, 75.4% presented with abdominal distention, 68.3% previous abdominal surgery, 11.9% body mass index >30 kg/m 2 , 4.8% coagulopathy and 3.2% hemodynamic instability. Among the 135 patients, only 5 of them presented with none contraindications for videolaparoscopy. Conclusion -The epidemiological findings of this study are similar to the ones of the worldwide literature. Indications of videolaparoscopy in retrospective analyses have the limitation of subjective evaluation of intestinal obstruction, which was included in this study as a relative contraindication to laparoscopy. HEADINGS -Intestinal obstruction. Video-assisted surgery.

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Section: Discussionmentioning

confidence: 99%

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Ghezzi

Moschetti

Corleta

et al. 2010

Arq. Gastroenterol.

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“…• Absence of peritonitis with the need for bowel resection and bowel handling in a highly inflamed environment [322] and absence of clinical signs of intestinal ischemia (LE 4).…”

Section: Ventral Herniasmentioning

confidence: 99%

“…• Absence of hemodynamic instability and severe comorbid conditions such as heart and lung diseases that preclude the use of pneumoperitoneum (LE 4) [322].…”

Section: Ventral Herniasmentioning

confidence: 99%

Laparoscopic approach to acute abdomen from the Consensus Development Conference of the Società Italiana di Chirurgia Endoscopica e nuove tecnologie (SICE), Associazione Chirurghi Ospedalieri Italiani (ACOI), Società Italiana di Chirurgia (SIC), Società Italiana di Chirurgia d’Urgenza e del Trauma (SICUT), Società Italiana di Chirurgia nell’Ospedalità Privata (SICOP), and the European Association for Endoscopic Surgery (EAES)

et al. 2012

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Background In January 2010, the SICE (Italian Society of Endoscopic Surgery), under the auspices of the EAES, decided to revisit the clinical recommendations for the role of laparoscopy in abdominal emergencies in adults, with the primary intent being to update the 2006 EAES indications and supplement the existing guidelines on specific diseases. Methods Other Italian surgical societies were invited into the Consensus to form a panel of 12 expert surgeons. In order to get a multidisciplinary panel, other stakeholders involved in abdominal emergencies were invited along with a patient's association.

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“…Conversely, surgery is better avoided once ART becomes, either indispensible (tubal and sever male factor) or, urgent (ovarian reserve) [10]. All the existing treatments of endometriosis, including danazol, GnRH agonists (GnRH-a), progestins and oral contraceptives (OC), block ovarian function and are therefore contraceptive [11,12]. The use of ovulation suppression has shown no evidence of benefit in subfertile women with endometriosis who wish to conceive [13].…”

Section: Is Deep Endometriosis a Neurologic Disease?mentioning

confidence: 99%

Abstracts from the 2nd European Congress on Endometriosis - 28-30 November 2013 - Berlin, Germany

Frost

Bach

2013

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Laparoscopic Lysis of Adhesions

Cited by 176 publications

References 54 publications

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Analysis of the videolaparoscopy potentiality in the surgical treatment of the bowel obstruction

Abstracts from the 2nd European Congress on Endometriosis - 28-30 November 2013 - Berlin, Germany

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