[The general surgeon's experience in emergency gynaecological laparoscopy]

Area of Science:

• Minimally Invasive Surgery
• Gynecologic Surgery
• Emergency Medicine

Background:

• Laparoscopy is crucial for diagnosing and treating uncertain surgical conditions.
• Its application in emergency gynecologic surgery is relatively new and requires further evaluation.
• Understanding the efficacy of laparoscopy in emergency settings is essential.

Purpose of the Study:

• To evaluate the efficacy of laparoscopy as a diagnostic and therapeutic technique in emergency gynecologic surgery.
• To assess the safety and outcomes of emergency laparoscopy.
• To determine the suitability of laparoscopy for acute abdomen of unknown origin.

Main Methods:

• A retrospective analysis of emergency laparoscopy procedures over six years.
• Specific gynecologic procedures performed included ovarian cystectomies, salpingectomies, salpingo-oophorectomies, myomectomies, and endocoagulation.
• Data collection focused on diagnostic accuracy, therapeutic outcomes, and complication rates.

Main Results:

• Emergency laparoscopy successfully diagnosed and treated various gynecological diseases.
• No conversions to open surgery or major postoperative complications were observed.
• Intervention times were shorter, and return to normal activity was earlier than with open surgery.

Conclusions:

• Laparoscopy is a valid and efficient diagnostic and therapeutic technique for emergency gynecologic surgery.
• It is indicated for the management of acute abdomen of unknown origin.
• The findings support the broader adoption of emergency laparoscopy in clinical practice.