Samina Rafique Memon, Muhammad Rafique Memon, Aftab Ahmed Soomro, Syed Qarib Abbas Shah.
Role of laparoscopy in acute abdomen.
Med Channel Jan ;16(2):306-10.

OBJECTIVE: In today’s modern world of surgery, laparoscopy has major diagnostic as well as therapeutic role in many acute abdominal conditions. Abdominal emergencies have been managed increasingly by laparoscopy, including peritonitis. This study was undertaken to evaluate our institution’s experience with Laparoscopic surgery as a safe and effective treatment for different acute abdominal conditions. DESIGN: A descriptive prospective study. PLACE AND DURATION OF STUDY: Ghulam Muhammad Mahar Medical College and Hira Medical Center Sukkur, during a period of last 2 years, from Jan: 2008 to Dec: 2009. PATIENTS & METHODS: This study included 350 patients undergoing Laparoscopic surgery for different acute abdominal conditions. Clinical data was recorded and routine investigations along with plain X-ray abdomen, ultrasound abdomen and C.T scan were carried out. The procedure performed, and its complications and success rate noted. RESULTS: In this study which was performed in 350 patients. Among 350 patients there are 100 (28.57%) males and 250 (71.42%) females. The age of patients ranged from 16 – 70 years. The open conversion rate in case of Laparoscopic cholecystectomy is 2%. Patients with acute calculus cholecystitis, empyema, mucocele, and acute pancreatitis were managed by laparoscopy successfully with minimal complications. Cases other than Laparoscopic cholecystectomy were also done successfully with minimal complications. CONCLUSION: Laparoscopy has gained widespread acceptance in acute abdomen as a diagnostic and therapeutic tool. It is cost effective and safe with less postoperative morbidity.

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