LAPAROSCOPY IN ACUTE ABDOMINAL DISORDERS
In emergency preoperative diagnosis is most accurate in acute cholecystitis and least accurate in pelvic conditions and mesenteric ischemia. Laparoscopy has a double goal: establish or confirm diagnosis and treating the disorders. Laparoscopy identifies those patients who do not need surgery. Our experience includes 2,778 patients with surgical acute abdomen: 1,857 cases with acute cholecystitis, 719 cases with acute appendicitis, 57 cases with perforated peptic ulcer, 10 cases with intestinal obstruction on postoperative adhesions, 19 cases with abdominal trauma, 87 cases with acute adnexal pathologies, 4 cases with acute pancreatitis, 12 cases with mesenteric ischemia, 12 cases with abdominal abscesses and one case with false acute abdomen. Our experience clearly shows the feasibility and safety of the laparoscopic appendectomy. The minimal access approach brings back suture in the treatment of perforated peptic ulcer in the conditions of an efficient postoperative medical treatment.
2. Morsy MM, Mostafa TA, Hassan MM. Role of laparoscopy in acute abdomen. Egypt J Surg 2020; 39: 540-546.
3. Roberts MW, Wolfe BM, Graves R. Management of the Acute Abdomen. In: Operative Laparoscopy and Thoracoscopy. BV MacFadyen Jr. and JL Ponsky editors. Philadelphia: Lippincott-Raven Pub-lishers, 1996, 159-183.
4. Schecter WP. Peritoneum and Acute Abdomen. In: Surgery-Basic Science and Clinical Evidence. JA Norton et al. editors. New York: Springer, 2000, 413-427.
5. Mayumi T, Yoshida M, Tazuma S, et al. The Practice Guidelines for Primary Care of Acute Abdomen 2015. Jpn J Radiol 2016 Jan; 34(1): 80-115.
6. Navez B, Navez J. Laparoscopy in the acute abdomen. Best Pract Res Clin Gastroenterol. 2014; 28(1): 3-17.
7. Pucher PH, Carter NC, Knight BC, Toh S, Tucker V, Mercer SJ. Impact of laparoscopic approach in emergency major abdominal surgery: single-center analysis of 748 consecutive cases. Ann R Coll Surg Engl 2018; 100(4): 279-284.
8. Agresta F, Ansaloni L, Baiocchi GL, et al. Laparoscopic approach to acute abdomen from the Con-sensus Development Conference of the SICE, ACOI, SIC, SICUT, SICOP and EAES. Surg Endosc 2012; 26: 2134-2164.
Once an article is accepted for publication, MSJ requests a transfer of copyrights for published articles.
COPYRIGHT TRANSFER FORM FOR
REVISTA MEDICO-CHIRURGICALĂ A SOCIETĂȚII DE MEDICI ȘI NATURALIȘTI DIN IAȘI /
THE MEDICAL-SURGICAL JOURNAL OF THE SOCIETY OF PHYSICIANS AND NATURALISTS FROM IASI
We, the undersigned authors of the manuscript entitled
warrant that this manuscript, which is submitted for publication in the REVISTA MEDICO-CHIRURGICALĂ, has not been published and it is not under consideration for publication in another journal.
- we give the consent for publication in the REVISTA MEDICO-CHIRURGICALĂ, in printed and electronic format and we transfer unconditioned and complete the copyright of this manuscript to the REVISTA MEDICO-CHIRURGICALĂ, in the event of its acceptance.
- the manuscript does not break the intellectual property rights of any other person.
- we have read the submitted version of the manuscript and we are fully responsible for the content.
Names and signatures of authors / copyright owners (the following sequence is the authorship of the article):
N.B. All the authors must sign this form