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[Laparoscopy in acute intestinal obstruction]
Klinicheskaia Khirurgiia
|January 1, 1989
Summary
Emergency laparoscopy aids in diagnosing acute ileus (AI) and other abdominal conditions. This minimally invasive technique accurately identifies various types of AI, improving patient diagnosis and management.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Context:
- Emergency laparoscopy is an increasingly utilized diagnostic tool in acute abdominal conditions.
- Acute ileus (AI) presents diagnostic challenges, necessitating precise and timely interventions.
Purpose:
- To evaluate the diagnostic efficacy of emergency laparoscopy in patients presenting with suspected acute ileus.
- To determine the accuracy of laparoscopic findings in identifying different types of intestinal obstruction.
Summary:
- Emergency laparoscopy was performed on 78 patients. Of those with clinical signs of AI, 12/25 were confirmed; of those with suspected AI, 14/42 were confirmed.
- Laparoscopy identified AI in 11 cases, with 6 dynamic, 8 strangulative, and 23 obstructive.
- In 18% of cases, no internal organ changes were found; 30.8% revealed other abdominal diseases. Laparoscopy achieved a 94.9% diagnostic accuracy.
Impact:
- Emergency laparoscopy provides a high diagnostic yield for acute ileus and other intra-abdominal pathologies.
- This minimally invasive approach facilitates accurate classification of AI, guiding appropriate surgical or conservative management.
- Laparoscopy enhances diagnostic precision, potentially reducing negative explorations and optimizing patient outcomes in emergency abdominal surgery.