Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen

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:...

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Autores principales:	Ahmed Abdelrahman Al-Sharkawy, Nagah Atwa Salem, Mohamed Elsayed Abo-Mera
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	acute abdomen doubt laparoscopy laparotomy appendicitis Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/44fbd2b1090746f4bf9a765145013330
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spelling	oai:doaj.org-article:44fbd2b1090746f4bf9a7651450133302021-12-02T15:54:52ZRole of Laparoscopy in Management of Doubt Cases of Acute Abdomen2636-41742682-378010.21608/ijma.2021.44397.1183https://doaj.org/article/44fbd2b1090746f4bf9a7651450133302021-04-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_159219_f5e9992c01fcf3c644bfb7d58e411cd6.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: 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.Ahmed Abdelrahman Al-SharkawyNagah Atwa SalemMohamed Elsayed Abo-MeraAl-Azhar University, Faculty of Medicine (Damietta)articleacute abdomendoubtlaparoscopylaparotomyappendicitisMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 2, Pp 1405-1411 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	acute abdomen doubt laparoscopy laparotomy appendicitis Medicine (General) R5-920
spellingShingle	acute abdomen doubt laparoscopy laparotomy appendicitis Medicine (General) R5-920 Ahmed Abdelrahman Al-Sharkawy Nagah Atwa Salem Mohamed Elsayed Abo-Mera Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
description	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.
format	article
author	Ahmed Abdelrahman Al-Sharkawy Nagah Atwa Salem Mohamed Elsayed Abo-Mera
author_facet	Ahmed Abdelrahman Al-Sharkawy Nagah Atwa Salem Mohamed Elsayed Abo-Mera
author_sort	Ahmed Abdelrahman Al-Sharkawy
title	Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
title_short	Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
title_full	Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
title_fullStr	Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
title_full_unstemmed	Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen
title_sort	role of laparoscopy in management of doubt cases of acute abdomen
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/44fbd2b1090746f4bf9a765145013330
work_keys_str_mv	AT ahmedabdelrahmanalsharkawy roleoflaparoscopyinmanagementofdoubtcasesofacuteabdomen AT nagahatwasalem roleoflaparoscopyinmanagementofdoubtcasesofacuteabdomen AT mohamedelsayedabomera roleoflaparoscopyinmanagementofdoubtcasesofacuteabdomen
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Role of Laparoscopy in Management of Doubt Cases of Acute Abdomen

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