الفهرس | Only 14 pages are availabe for public view |
Abstract Laparoscopy has a diagnostic as well as a therapeutic role in management of many abdominal visceral disorders with no need to proceed to laparotomy to treat these patients (Onders and Mittendorf, 2001). The present study was carried out to evaluate laparoscopy as a diagnostic and therapeutic tool in management of abdominal emergencies. Abdominal emergencies are a critical condition and leads to surgical intervention. About 25% of patients presented to the emergency department complain of abdominal pain (Cordell et al, 2002). Diagnostic laparoscopy allows the direct visual examination of the intraabdominal organs including the liver, gallbladder, spleen, peritoneum and pelvic organs. In addition, biopsies, aspiration and cultures can be obtained. The purpose of this examination actually is to see if there is a problem that has not been found with noninvasive tests (Boyd and Nord, 2000). This study included 40 patients with abdominal emergencies; all patients were subjected to detailed history, thorough general and local physical examination, all patients were subjected to laboratory and radiographic evaluation. Laparoscopic exploration was done to half patients in this study and was capable of management in 65% of patients included in this study. Patients who completed the operation laparoscopicaly needed short postoperative hospital stay (mean 1.25 days) and showed less post-operative complications and less post-operative pain 112. |