Laparoscopic management of acute abdominal emergencies

Publication date: Available online 12 September 2019Source: Surgery (Oxford)Author(s): Rishabh Singh, Andrea ScalaAbstractUse of minimally invasive approaches to acute abdominal surgical emergencies has increased in recent decades. Uptake has been slower than for elective surgery, however, with concerns regarding inadvertent injury and operative time being most frequently cited. Laparoscopy for abdominal pain has shown to be safe and is a useful diagnostic procedure in the context of unexplained abdominal pain. Minimally invasive surgery has also been shown to be the approach of choice in appendicitis and cholecystitis. Laparoscopy has shown to be useful in trauma patients and may obviate the need for laparotomy. Management of perforated peptic ulcers has shown to be feasible and safe, with some uncertainty as to the superiority over an open approach. The management of perforated diverticulitis has been the subject of much debate, with significant risk possibly associated with minimally invasive lavage. Small bowel obstruction may also be managed using laparoscopy but the potential for inadvertent injury remains. While useful and certainly yielding benefits in terms of postoperative recovery when performed without incident, the decision to proceed minimally invasively in many acute abdominal emergencies must be taken by clinicians and surgical teams with suitable experience and expertise.
Source: Surgery (Oxford) - Category: Surgery Source Type: research

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Abstract The greatest advantages of laparoscopy when compared to open surgery include the faster recovery times, shorter hospital stays, decreased postoperative pain, earlier return to work and resumption of normal daily activity as well as cosmetic benefits. Laparoscopy today is considered the gold standard of care in the treatment of cholecystitis and appendicitis worldwide. Laparoscopy has even been adopted in colorectal surgery with good results. The technological improvements in this surgical field along with the development of modern techniques and the acquisition of specific laparoscopic skills have allowed...
Source: World Journal of Gastroenterology : WJG - Category: Gastroenterology Authors: Tags: World J Gastroenterol Source Type: research
More News: Appendicitis | Diverticular Disease | Emergency Medicine | Laparoscopy | Laparotomy | Minimally Invasive Surgery | Pain | Pain Management | Peptic Ulcer | Surgery