The use of laparoscopy in abdominal emergencies

Abstract

For patients with abdominal emergencies, the laparoscopic approach provides diagnostic accuracy and therapeutic options, avoids extensive preoperative studies, averts delays in operative intervention, and appears to reduce morbidity.

Laparoscopic Finney pyloroplasty in the emergency setting: first case report in the literature and technical challenges

“…The evidence-based guidelines produced by the European Association for Endoscopic Surgery in 2006 and many others studies have demonstrated the superiority of laparoscopic surgery, even in the emergency setting (6,7). Furthermore, routine use of laparoscopy in the diagnosis and management of the acute abdomen has been widely accepted (8). MIS confers many advantages when compared to open surgery.…”

“…Specifically, LS guarantees perfect exposure of the abdominal cavity, achieves a lower incidence of adhesion formation and wound complications, less postoperative pain and superior cosmesis. LS additionally permits earlier recovery of gastrointestinal motility with rapid resumption of daily activities (1,8). Various laparoscopic approaches and many modified techniques have been evaluated to address gastric and DU.…”

Acute early adhesive small bowel obstruction: today`s possibilities of laparoscopy in diagnosis and treatment

“…Большинство авторов указывают 3-8-е сутки от перенесенной первичной операции как наиболее часто встречаемые сроки развития ОРСТКН. А наиболее опасными сроками прояв-ления послеоперационных осложнений и развития ОРСТКН считают 2-5-е сутки [2,6,10,16,23,43,[56][57][58][59][60]. Только при активном динамическом на-блюдении за больным удается выявить клиниче-скую картину, не характерную для обычного, неос-ложненного течения послеоперационного периода [61][62][63][64].…”

“…При выявлении спаек рассекают только те, которые могли бы являться причиной об-струкции и/или микроциркуляторных нарушений в стенке кишки [15,60]. Спайки пересекают нож-ницами, так как применение электрокоагуляции или ультразвукового скальпеля может привести к повреждению стенки кишки [23,33,36,42,53,57]. Так, при проведении монополярной электрокоагу-ляции может возникнуть феномен «туннелизации тока».…”

Laparoscopic Approach to Abdominal Sepsis

“…The surgical treatment was performed by the laparoscopic route in 75% of the patients and by laparotomy directed by the laparoscopic diagnosis in 13%. Due to a diagnostic error in 2 cases of intestinal obstruction in patients with no abdominal surgery, in this situation the authors recommend laparotomy or investigation by means of other exams (Kirshtein et al, 2003). The 2005 Consensus of the European Association of Endoscopic Surgery recommends the use of all non-surgical diagnostic means in order to obtain the etiologic diagnosis in patients with a non-traumatic acute abdomen.…”