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159219

Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen

Article

Last updated: 24 Dec 2024

OverviewSimilar Items

Subjects

-

Tags

Surgery

Abstract

Background: Acute abdomen is a surgical emergency, that needs early diagnosis and treatment to avoid complications and save patient life. However, accurate diagnosis is crucial to avoid unnecessary surgery. Laparoscopy could represent an optimal solution in these circumstances.
The aim of the work:  To evaluate the role of laparoscopy in management of doubt cases of acute abdomen.
Patients and Methods: It is a prospective study, which held at Al-Azhar University Hospital [Damietta] during the first six months of 2020 and included 30 patients who presented by acute abdominal pain. All were evaluated by full history taking, clinical examination, laboratory and radiological investigations. Then, all underwent diagnostic laparoscopy, which had been continued to therapeutic laparoscopy, or converted to laparoscopy-assisted laparotomy at the same setting. Rate of success, operative diagnosis and postoperative complications were documented.
Results:The most common cause of acute abdomen was acute appendicitis [23.33%] followed by acute cholecystitis [13.33%], then perforated peptic ulcer [10.0%]. Negative exploration had been reported in 10%.  Therapeutic laparoscopy was successful in [56.7%] while [43.3%] required conversion to laparotomy. Complications were observed in 14 patients [46.7%] and wound infection is the most common [30.0%]. Radiological investigations failed to elaborate diagnosis in 12 patients, and laparoscopy achieved the diagnosis in 9 [75.0%] of them. 
Conclusion: The laparoscopic approach in doubt acute abdomen is proved to be feasible and safe in experienced hands. It provides diagnostic accuracy as well as therapeutic capabilities. It reduces pain, improves recovery, shortens hospitalization and improves cosmetic results.

DOI

10.21608/ijma.2021.44397.1183

Keywords

Acute abdomen, Doubt, Laparoscopy, laparotomy, Appendicitis

Authors

First Name

Ahmed Abdelrahman

Last Name

Al-Sharkawy

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

aammsharkos@domazhermedicine.edu.eg

City

Cairo

Orcid

-

First Name

Nagah Atwa

Last Name

Salem

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

nagahsalem@domazhermedicine.edu.eg

City

Gamalia

Orcid

-

First Name

Mohamed Elsayed

Last Name

Abo-Mera

MiddleName

-

Affiliation

Department of General Surgery, Damietta Faculty of Medicine, Al-Azhar University, Egypt

Email

dr.mmira@domazhermedicine.edu.eg

City

Nabarouh

Orcid

-

Volume

3

Article Issue

2

Related Issue

24821

Issue Date

2021-04-01

Receive Date

2020-09-28

Publish Date

2021-04-01

Page Start

1,405

Page End

1,411

Print ISSN

2636-4174

Online ISSN

2682-3780

Article File

IJMA_Volume 3_Issue 2_Pages 1405-1411.pdf

PDF . 335.7kB

Link

https://ijma.journals.ekb.eg/article_159219.html

Detail API

https://ijma.journals.ekb.eg/service?article_code=159219

Order

31

Type

Original Article

Type Code

816

Publication Type

Journal

Publication Title

International Journal of Medical Arts

Publication Link

https://ijma.journals.ekb.eg/

MainTitle

Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen

Details

Type

Article

Created At

22 Jan 2023