PMID: 2947659Dec 1, 1986Paper

Laparoscopy as an adjunct to decision making in the 'acute abdomen'

The British Journal of Surgery
S Paterson-BrownH A Dudley

Abstract

When patients are admitted to hospital with acute abdominal pain, clinicians, irrespective of a specific diagnosis, intuitively select three diagnostic classes: operation definitely required (Group A); operation definitely not required (Group B); need for operation uncertain (Group C). The last is followed either by a precautionary laparotomy or a variable period of observation/investigation. We have studied prospectively the influence of laparoscopy on the distribution between these classes and particularly on outcome in group C. One hundred and twenty-five consecutive patients with abdominal pain severe enough for emergency admission have been classified by one of two admitting surgeons (SHO/registrar), who also expressed in group C a view on how they would proceed--operation or observation. Group C were then laparoscoped. The procedure confirmed a provisional view that laparotomy was needed in 11 of 15 patients. In the 'observation' sub-group the provisional decision was confirmed in 14 of 16 and early discharge followed in most. Six inappropriate decisions were thus avoided. Seven management decisions in group A and 4 in group B proved incorrect (11/94: 12 per cent). The majority were potentially recognizable by laparoscopy...Continue Reading

References

Apr 1, 1975·Annals of Surgery·S O AntebyW Z Polishuk
Apr 1, 1972·British Medical Journal·F T De DombalJ C Horrocks
Nov 11, 1972·British Medical Journal·D J LeaperF T De Dombal
Mar 4, 1972·The Medical Journal of Australia·J F Oldham, H A Dudley
Jun 1, 1982·The British Journal of Surgery·A A DeutschR Reiss
Oct 1, 1981·The Australian and New Zealand Journal of Surgery·J L Anderson, F H Bridgewater
May 1, 1982·The British Journal of Surgery·J J WoodS Darougar

Citations

Nov 2, 1991·BMJ : British Medical Journal·S Paterson-Brown
Sep 20, 2008·Cases Journal·Alfie J Kavalakat, Chalissery J Varghese
Jun 20, 2014·World Journal of Surgical Oncology·Elroy P WeledjiJohn S Abba
Feb 1, 1991·The British Journal of Surgery·S Paterson-BrownD C Carter
Feb 1, 1991·The British Journal of Surgery·R J BaigrieJ N Thompson
Dec 1, 1988·The Australian and New Zealand Journal of Surgery·R J StewartW H Isbister
Jun 25, 1987·The New England Journal of Medicine
Feb 1, 1993·Irish Journal of Medical Science·S Kehoe, M J Mylotte
Feb 10, 1994·The New England Journal of Medicine·N J SoperK Kerbl
Nov 1, 1988·The Australian and New Zealand Journal of Surgery·P F Jones
Jan 1, 1990·The British Journal of Surgery·S Paterson-Brown, M N Vipond
May 1, 1989·World Journal of Surgery·H A DudleyJ R Eckersley
Jul 1, 1995·The British Journal of Surgery·R J BaigrieD C Dunn
Jul 1, 1993·The British Journal of Surgery·J B OlsenP E Haahr
May 1, 1992·The Australian and New Zealand Journal of Surgery·S C ChungA K Li
Oct 1, 1989·The British Journal of Surgery·S Paterson-BrownH A Dudley
Mar 1, 1993·The British Journal of Surgery·S Paterson-Brown
Apr 1, 2008·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Mustafa AtesMahmut Bulbul
Mar 1, 1993·Surgical Endoscopy·J M Sackier
Nov 1, 1989·The British Journal of Surgery·T T Irvin
Aug 1, 1989·The British Journal of Surgery·J Hoffmann, O O Rasmussen
Jan 1, 1993·The Australian and New Zealand Journal of Surgery·J A Windsor, O J Garden

Related Concepts

Abdomen, Acute
Computer Assisted Diagnosis
Surgical Procedures, Laparoscopic
Patient Referral

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Lipidomics & Rhinovirus Infection

Lipidomics can be used to examine the lipid species involved with pathogenic conditions, such as viral associated inflammation. Discovered the latest research on Lipidomics & Rhinovirus Infection.

Glut1 Deficiency

Glut1 deficiency, an autosomal dominant, genetic metabolic disorder associated with a deficiency of GLUT1, the protein that transports glucose across the blood brain barrier, is characterized by mental and motor developmental delays and infantile seizures. Follow the latest research on Glut1 deficiency with this feed.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Alzheimer's Disease: MS4A

Variants within the membrane-spanning 4-domains subfamily A (MS4A) gene cluster have recently been implicated in Alzheimer's disease in genome-wide association studies. Here is the latest research on Alzheimer's disease and MS4A.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Laryngeal Neoplasms

Laryngeal Neoplasms occur in the Larynx and are typically associated with smoking and alcohol consumption. Discover the latest research on Laryngeal Neoplasms here.

Cell Atlas Along the Gut-Brain Axis

Profiling cells along the gut-brain axis at the single cell level will provide unique information for each cell type, a three-dimensional map of how cell types work together to form tissues, and insights into how changes in the map underlie health and disease of the GI system and its crosstalk with the brain. Disocver the latest research on single cell analysis of the gut-brain axis here.