Laparoscopy and Intra-Abdominal Sepsis

Context Intra-abdominal sepsis has significant morbidity and mortality. In the developed world, there are many common causes originating from the lower gastrointestinal tract including diverticular disease, appendicitis, perforated cancers, and inflammatory bowel disease. It has a high cost and is...

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Auteurs principaux:	Peter Edward Coyne, Reza Kalbassi
Format:	article
Langue:	EN
Publié:	Shiraz University of Medical Sciences 2015
Sujets:	diverticulitis appendicitis laparoscopy crohn’s disease colorectal cancer ulcerative colitis Medicine R
Accès en ligne:	https://doaj.org/article/1d7cd85a8a22431fbe7c4b7f200ec521
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spelling	oai:doaj.org-article:1d7cd85a8a22431fbe7c4b7f200ec5212021-11-15T09:41:04ZLaparoscopy and Intra-Abdominal Sepsis2783-243010.17795/acr-28983https://doaj.org/article/1d7cd85a8a22431fbe7c4b7f200ec5212015-06-01T00:00:00Zhttps://colorectalresearch.sums.ac.ir/article_45490_06f5c9d7e66dcdc6f48d93d6692a0a29.pdfhttps://doaj.org/toc/2783-2430Context Intra-abdominal sepsis has significant morbidity and mortality. In the developed world, there are many common causes originating from the lower gastrointestinal tract including diverticular disease, appendicitis, perforated cancers, and inflammatory bowel disease. It has a high cost and is associated with high levels of significant morbidity and mortality. Management options include radiologic drainage and surgical options include resection for more widespread sepsis. Laparoscopic surgery has increased and has been useful in elective setting. Its use in the emergency setting is less evaluated. Evidence Acquisition Evidence was acquired by searching online medical databases including Pubmed, Medline and Embase. Results Laparoscopic surgery has been shown to have a role in the acute setting. Studies show it has become the gold standard in the appendicitis. High quality Randomized controlled trials are in short supply but observational and cohort studies have shown equivalence and with increasing experience complication rates are reduced. Evidence is also increasing in the management of diverticular disease, crohn’s and ulcerative colitis as well as post-operative complication management and acute presentations of colorectal cancer. Conclusions Laparoscopic surgery is feasible in the management of intra-abdominal sepsis. It has become the new accepted standard in the management of appendicitis, and is safe, feasible and increasing in the management of complex diverticular disease, acute IBD and colorectal cancer in the emergency and post-operative setting.Peter Edward CoyneReza KalbassiShiraz University of Medical Sciencesarticlediverticulitisappendicitislaparoscopycrohn’s diseasecolorectal cancerulcerative colitisMedicineRENIranian Journal of Colorectal Research, Vol 3, Iss 2, Pp 0-0 (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	diverticulitis appendicitis laparoscopy crohn’s disease colorectal cancer ulcerative colitis Medicine R
spellingShingle	diverticulitis appendicitis laparoscopy crohn’s disease colorectal cancer ulcerative colitis Medicine R Peter Edward Coyne Reza Kalbassi Laparoscopy and Intra-Abdominal Sepsis
description	Context Intra-abdominal sepsis has significant morbidity and mortality. In the developed world, there are many common causes originating from the lower gastrointestinal tract including diverticular disease, appendicitis, perforated cancers, and inflammatory bowel disease. It has a high cost and is associated with high levels of significant morbidity and mortality. Management options include radiologic drainage and surgical options include resection for more widespread sepsis. Laparoscopic surgery has increased and has been useful in elective setting. Its use in the emergency setting is less evaluated. Evidence Acquisition Evidence was acquired by searching online medical databases including Pubmed, Medline and Embase. Results Laparoscopic surgery has been shown to have a role in the acute setting. Studies show it has become the gold standard in the appendicitis. High quality Randomized controlled trials are in short supply but observational and cohort studies have shown equivalence and with increasing experience complication rates are reduced. Evidence is also increasing in the management of diverticular disease, crohn’s and ulcerative colitis as well as post-operative complication management and acute presentations of colorectal cancer. Conclusions Laparoscopic surgery is feasible in the management of intra-abdominal sepsis. It has become the new accepted standard in the management of appendicitis, and is safe, feasible and increasing in the management of complex diverticular disease, acute IBD and colorectal cancer in the emergency and post-operative setting.
format	article
author	Peter Edward Coyne Reza Kalbassi
author_facet	Peter Edward Coyne Reza Kalbassi
author_sort	Peter Edward Coyne
title	Laparoscopy and Intra-Abdominal Sepsis
title_short	Laparoscopy and Intra-Abdominal Sepsis
title_full	Laparoscopy and Intra-Abdominal Sepsis
title_fullStr	Laparoscopy and Intra-Abdominal Sepsis
title_full_unstemmed	Laparoscopy and Intra-Abdominal Sepsis
title_sort	laparoscopy and intra-abdominal sepsis
publisher	Shiraz University of Medical Sciences
publishDate	2015
url	https://doaj.org/article/1d7cd85a8a22431fbe7c4b7f200ec521
work_keys_str_mv	AT peteredwardcoyne laparoscopyandintraabdominalsepsis AT rezakalbassi laparoscopyandintraabdominalsepsis
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Laparoscopy and Intra-Abdominal Sepsis

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