[Laparoscopy in acute abdomen as diagnostic and surgical aid]

In cases of acute abdomen, the preoperative diagnostic options are limited. Diagnostic laparoscopy offers a superior overview of the abdominal cavity with minimal trauma to the patient. If further surgery is needed, it may take the form of either laparoscopic procedures or conversion to open surgery, the incision being guided by laparoscopy findings. Complications associated to laparoscopy are few and can be minimized further by using minilaparotomy techniques. Intensive educational programmes for all categories of staff are required to make a 24-hours-a-day laparoscopy service available.