The role of minimal access surgery in the acute abdomen

The Surgical Clinics of North America
M A Memon, R J Fitztgibbons

Abstract

The improvement in surgical decision-making for patients with abdominal pain but an uncertain diagnosis using DL has now been shown to decrease both negative and nontherapeutic laparotomy rates. Once the diagnosis is established, DL can be taken a step further in many cases, as therapeutic intervention via laparoscopy is possible for a number of these conditions without resorting to a laparotomy. Conditions amenable to therapeutic laparoscopy include appendicitis, perforated peptic ulcer, diverticulitis, small bowel obstruction, acute cholecystitis, diaphragmatic rupture, and splenic or hepatic injuries, to name but a few. However, a number of unanswered questions remain such as: Who should perform emergency laparoscopic procedures? What should the selection criteria be? What are the cost implications? and Is patient outcome actually better with laparoscopy? Only randomized controlled trials can answer these questions. Until such data are available, it is important that common sense prevail. Laparoscopy should be incorporated into the general surgeon's armamentarium for the management of patients with abdominal pain as just another tool to be used selectively when indicated. It is also important that new technologies be careful...Continue Reading

References

Apr 1, 1975·Annals of Surgery·S O AntebyW Z Polishuk
Jan 1, 1979·Surgery, Gynecology & Obstetrics·S R Petersen, G F Sheldon
Sep 11, 1992·The Journal of Trauma·D H LivingstonB F Rush
Oct 1, 1992·Journal of Laparoendoscopic Surgery·J KeatingD Whittle
Sep 1, 1992·The British Journal of Surgery·B C OgbonnaE J Nwana
Oct 1, 1992·Endoscopy·H J Nord
Dec 1, 1991·Surgical Laparoscopy & Endoscopy·D F BastugE H Tiley
Mar 1, 1991·American Journal of Surgery·G BerciM Paz-Partlow
Jun 1, 1991·Journal of Laparoendoscopic Surgery·A GrahamJ Mobley
Jan 1, 1991·Lasers in Surgery and Medicine·M S BaggishA Refai
Jan 1, 1990·Surgical Endoscopy·J H Schreiber
Sep 1, 1990·The British Journal of Surgery·P MouretR Lombard-Platet
Dec 1, 1988·American Journal of Surgery·J A Weigelt, R G Kingman
Oct 1, 1972·The Journal of Trauma·R J LoweR J Baker
Jan 1, 1981·Cleveland Clinic Quarterly·J T DiehlD Rao
Dec 1, 1980·American Journal of Surgery·E E MooreJ S Thompson
Sep 1, 1995·The Journal of Trauma·J L SosaL Martin
Apr 1, 1995·Journal of Laparoendoscopic Surgery·J L BouillotJ H Alexandre
May 1, 1995·World Journal of Surgery·B NavezP Guiot
Apr 1, 1995·Surgical Endoscopy·A JainR A Dorazio
Sep 1, 1995·Annals of Surgery·L C MartinD Sleeman
Jan 1, 1995·Scandinavian Journal of Gastroenterology. Supplement·G M Larson
Oct 1, 1994·Surgical Endoscopy·S M FreysA Thiede
Nov 1, 1994·The British Journal of Surgery·A G TannerJ R Monson
Dec 1, 1993·Baillière's Clinical Gastroenterology·D W CristT R Gadacz
Jan 1, 1994·Surgical Endoscopy·K A ZuckerR S Ford
Jan 1, 1994·World Journal of Surgery·P ReissmanE Ben-Chetrit
Jun 1, 1994·Annals of Surgery·R C FrazeeJ B Harrison
Dec 1, 1993·American Journal of Surgery·P RossiE Thal
Dec 1, 1993·The British Journal of Surgery·C K KumJ R Isaac
Jun 1, 1993·The Journal of Trauma·R R IvaturyW M Stahl
Jan 1, 1993·Diseases of the Colon and Rectum·P M FalkR J Fitzgibbons
Mar 1, 1993·The British Journal of Surgery·S Paterson-Brown
May 1, 1993·Annals of Surgery·T C FabianK A Kudsk
May 1, 1993·Archives of Surgery·L L Fritts, R Orlando
Jan 1, 1996·World Journal of Surgery·J B HansenB L Menzies
May 1, 1996·Archives of Surgery·R C Frazee, W T Bohannon
May 1, 1996·Archives of Surgery·M J CuretK A Zucker
Mar 1, 1996·Surgical Endoscopy·E TangR W Beart
Sep 1, 1996·Diseases of the Colon and Rectum·R M Kluiber, B Hartsman

❮ Previous
Next ❯

Citations

May 23, 2002·Surgery·Daniel J GagnéDennis L Fowler
Jan 25, 2003·Surgical Infections·Frank J Branicki
Jul 29, 1998·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·M A Memon, R J Fitzgibbons
Mar 8, 2000·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·C S Ou, R Rowbotham
Jun 24, 2000·AACN Clinical Issues·B K Shelton
Jan 9, 2001·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·I HamzaoğluM Sariyar
Feb 17, 2005·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Iyer Shridhar Ganpathi, Wei-Keat Cheah
Oct 22, 2008·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Mustafa AtesAlpaslan Terzi
Apr 16, 2010·Surgical Laparoscopy, Endoscopy & Percutaneous Techniques·Stavros N KaramanakosIoannis Kehagias
Apr 5, 2002·Journal of the American Academy of Nurse Practitioners·C L Gauf
Oct 12, 2010·JSLS : Journal of the Society of Laparoendoscopic Surgeons·M S SubramanyaM A Memon
Sep 10, 2011·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Daniel Eyvazzadeh, Stephen M Kavic
May 31, 2012·JSLS : Journal of the Society of Laparoendoscopic Surgeons·Lena Perger, Oliver J Muensterer
May 5, 2000·Radiology·B A Birnbaum, S R Wilson
Sep 1, 2005·World Journal of Surgery·Raimundas Lunevicius, Matas Morkevicius
Sep 2, 2008·International Journal of Surgery·Adam Q MaggioStewart R Walsh
May 3, 2003·Surgical Endoscopy·B KirshteinS Mizrahi
Oct 10, 2018·Case Reports in Surgery·Francesca D'AuriaDomenico Lombardi
Sep 21, 2020·European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society·Carlo BergaminiJacopo Martellucci
Apr 5, 2008·The Medical Clinics of North America·John T Langell, Sean J Mulvihill

❮ Previous
Next ❯

Related Concepts

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.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

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.

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.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

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.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.