Laparoscopy in developing countries in the management of patients with an acute abdomen
| Autor: | John Obafunwa, J. T. Momoh, E. J. C. Nwana, P. O. Obekpa, B. C. Ogbonna |
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| Rok vydání: | 1992 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment Decision Making Developing country Diagnostic accuracy Diagnostic aid Postoperative Complications Laparotomy medicine Humans In patient Prospective Studies Laparoscopy Developing Countries Retrospective Studies Abdomen Acute medicine.diagnostic_test business.industry General surgery Surgery Hospitalization Acute abdomen medicine.symptom business |
| Zdroj: | The British journal of surgery. 79(9) |
| ISSN: | 0007-1323 |
| Popis: | Surgeons in developing countries see a need to improve diagnosis and decision making in patients with an acute abdomen. Without the benefit of diagnostic aids such as computers and high-resolution ultra-sonography, the rate of unnecessary laparotomy is often unacceptably high. The laparoscope is usually available in a developing country and its use easily acquired. Using laparoscopy in doubtful situations the unnecessary laparotomy rate was significantly reduced from 14.0 to 6 per cent (P < 0.05). Laparoscopy achieved a diagnostic accuracy of 86 per cent and prevented unnecessary laparotomy in 57 per cent of those in whom it was used. |
| Databáze: | OpenAIRE |
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