PMID: 1834286Sep 1, 1991Paper

The acute abdomen: the role of laparoscopy

Baillière's Clinical Gastroenterology
S Paterson-Brown


The ability to improve surgical decision-making in the acute abdomen using selective laparoscopy is now established. When the decision to operate is uncertain laparoscopy not only identifies those patients who do not require laparotomy, but also reveals those who need surgery which might otherwise have been delayed. Furthermore, the high error rates in diagnosing acute appendicitis in young women provides overwhelming support to the current view that all women with suspected appendicitis should undergo laparoscopy before appendicectomy, irrespective of clinical 'certainty'. Improvements in the management of the acute abdomen can also be achieved by other techniques such as computer-assisted diagnosis (McAdam et al, 1990) and peritoneal cytology (Stewart et al, 1988), and a combination of these with selective laparotomy would be appropriate. Initial patient assessment using a structured proforma would appear to be one of the most significant factors in the improvement of diagnostic accuracy associated with the use of computers (Gunn, 1976), and their combination with a policy of selective laparoscopy has been shown to be beneficial (Paterson-Brown et al, 1989). The ability to detect which patients are likely to benefit from lapa...Continue Reading


Feb 22, 1975·Lancet·P H SugarbakerR E Wilson
Sep 6, 1975·Lancet·O J GilmoreR C Williamson
Apr 1, 1975·Annals of Surgery·S O AntebyW Z Polishuk
Dec 1, 1975·American Journal of Surgery·W D Gaisford
May 1, 1979·American Journal of Surgery·N CortesiM Malagoli
Nov 1, 1990·Annals of Surgery·G Berci, J M Sackier
Jul 1, 1990·The British Journal of Surgery
Jul 21, 1990·BMJ : British Medical Journal·B W EllisH A Dudley
May 1, 1989·American Journal of Surgery·A G Nagy, D James
Jun 1, 1989·The British Journal of Surgery·P F Leahy
Oct 1, 1989·The British Journal of Surgery·S Paterson-BrownH A Dudley
May 1, 1989·World Journal of Surgery·H A DudleyJ R Eckersley
Jan 4, 1986·Lancet·R GruerC V Ruckley
Jan 1, 1987·American Journal of Obstetrics and Gynecology·N M SpirtosL T Hibbard
May 14, 1988·British Medical Journal·S Paterson-BrownH A Dudley
Jun 18, 1988·British Medical Journal·A WoodwardC Murphy
Dec 1, 1988·The Australian and New Zealand Journal of Surgery·R J StewartW H Isbister
Sep 27, 1986·British Medical Journal·I D AdamsN McIntyre
Oct 29, 1988·BMJ : British Medical Journal·P N Wells
Feb 1, 1988·American Journal of Surgery·J HoffmannM H Shokouh-Amiri
Apr 1, 1987·The British Journal of Surgery·D W Gray, J Collin
Feb 12, 1972·British Medical Journal·D B Scott, D G Julian
Apr 29, 1972·British Medical Journal·T R Morley
Apr 1, 1973·American Journal of Obstetrics and Gynecology·M MotewA Scommegna
Dec 1, 1973·American Journal of Surgery·F C ChangD R Welling
Jun 1, 1982·The British Journal of Surgery·A A DeutschR Reiss
Oct 1, 1980·The British Journal of Surgery·T J HallT G Brennan
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
Oct 6, 2012·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Yang ZhaoXiaohong Zhang


Jan 1, 1997·Irish Journal of Medical Science·P P FlemingG C O'Sullivan
Jun 24, 2010·The Urologic Clinics of North America·Pasquale Casale
Jan 1, 1997·Heart & Lung : the Journal of Critical Care·K C SharmaR D Brandstetter
Jan 25, 2003·Surgical Infections·Frank J Branicki
Jul 2, 2010·HPB : the Official Journal of the International Hepato Pancreato Biliary Association·Omer S Al-TaanAshley R Dennison
Mar 1, 1993·The British Journal of Surgery·S Paterson-Brown
Nov 18, 2000·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·F D Collet e SilvaD Birolini

Related Concepts

Trending Feeds


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.

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.

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.

Hereditary Sensory Autonomic Neuropathy

Hereditary Sensory Autonomic Neuropathies are a group of inherited neurodegenerative disorders characterized clinically by loss of sensation and autonomic dysfunction. Here is the latest research on these neuropathies.

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.

Regulation of Vocal-Motor Plasticity

Dopaminergic projections to the basal ganglia and nucleus accumbens shape the learning and plasticity of motivated behaviors across species including the regulation of vocal-motor plasticity and performance in songbirds. Discover the latest research on the regulation of vocal-motor plasticity here.

Neural Activity: Imaging

Imaging of neural activity in vivo has developed rapidly recently with the advancement of fluorescence microscopy, including new applications using miniaturized microscopes (miniscopes). This feed follows the progress in this growing field.

Nodding Syndrome

Nodding Syndrome is a neurological and epileptiform disorder characterized by psychomotor, mental, and growth retardation. Discover the latest research on Nodding Syndrome here.

LRRK2 & Microtubules

Mutations in the LRRK2 gene are risk-factors for developing Parkinson’s disease (PD). LRRK2 mutations in PD have been shown to enhance its association with microtubules. Here is the latest research.

Related Papers

Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
M Weinberger, S L Bernstein
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
E R WilliamsF S Shofer
Academic Emergency Medicine : Official Journal of the Society for Academic Emergency Medicine
D M Yealy, K S O'Toole
© 2021 Meta ULC. All rights reserved