Laparoscopy in the management of acute abdominal pain
| Autor: | St J. Collier, G. E. Morris, D. C. Dunn, S. G. Pollard |
|---|---|
| Rok vydání: | 1993 |
| Předmět: |
Laparoscopic surgery
medicine.medical_specialty Abdominal pain medicine.diagnostic_test business.industry medicine.medical_treatment General surgery Acute abdominal pain Retrospective cohort study Appendix Surgery Laparoscopic appendicectomy medicine.anatomical_structure Medicine Radiology Nuclear Medicine and imaging medicine.symptom business Prospective cohort study Laparoscopy |
| Zdroj: | Minimally Invasive Therapy. 2:93-95 |
| ISSN: | 0961-625X |
| DOI: | 10.3109/13645709309152944 |
| Popis: | A survey of all general surgeons in one regional health authority has shown that despite the increase in laparoscopic surgery following the introduction of laparoscopic cholecystectomy, laparoscopy was used in the management of acute abdominal pain by 28% of consultants and only 10% of trainee surgeons. In a retrospective study of 316 patients undergoing open appendicectomy the histological appearance of the appendix was normal in 60 (19%). In a non-randomized prospective study only 13 of 30 patients laparo-scoped who were due to undergo open appendicectomy had acute appendicitis. Patients undergoing diagnostic laparoscopy and laparoscopic appendicectomy had a shorter post-operative hospital stay (1.7 ± 0.2 days) compared to those undergoing open appendicectomy (2.9 ± 0.2 days), which is highly significant (P < 0.0001). In the management of acute abdominal pain laparoscopy can significantly reduce unnecessary operative intervention and allow earlier discharge from hospital and return to full mobility. |
| Databáze: | OpenAIRE |
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