Long-term outcome, adhesions, and quality of life after laparoscopic and open surgical therapies for acute abdomen: follow-up of a prospective trial

Abstract

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.

Abdominal Surgery Affects Small Bowel Transit Time and Completeness of Capsule Endoscopy

“…Patients who have undergone abdominal surgery frequently show delayed gastrointestinal transit, and even ileus, for a long time after the abdominal surgery [19,20]. The pathogenesis of postoperative intestinal dysmotility is multifactorial and includes the formation of peritoneal adhesions [21], but the precise mechanism is unclear. It is mainly thought to be mediated by an inhibitory enterogastric neural pathway that is triggered by inflammatory infiltrates recruited to the intestinal muscle [6,22].…”

Current opinions about laparoscopic incisional hernia repair: a survey of practicing surgeons

“…This is a widely recognized complication of both open and laparoscopic hernia repair techniques. [1,4,7,[11][12][13]15,18,23,[25][26][27][28][29][30] Respondents in our survey approach this complication conservatively, that is by delay of mesh placement for several weeks. It is interesting to note that 3% would place mesh in a field regardless of the presence of spillage of enteric contents.…”

Laparoscopic Evaluation of Nonspecific Abdominal Pain in Females

“…Advantages of laparoscopy are related to its complete and direct visualization of intra-peritoneal viscera, significant reduction of therapeutic errors, immediate possibility of surgical treatment, improvement in postoperative conditions and management of specific populations such as obese patients and pregnant women [8,10]. The primary aim of laparoscopy in such settings is diagnostic as evidenced by high definitive diagnostic rates between 86-100% in unselected patients and also has important cost benefits, by reducing hospital stay and readmission rates [11,14]. To evaluate these potential benefits of diagnostic laparoscopy in cases of NSAP with uncertain diagnosis, this study was conducted on 50 sexually active female subjects, expecting that in the coming future, it might become routine procedure in establishing the final diagnosis in NSAP.…”