Open to laparoscopic conversion in hemoperitoneum of unknown origin

Area of Science:

• Minimally Invasive Surgery
• Emergency Surgery
• Gynecologic Surgery

Background:

• Emergency abdominal surgeries often require open procedures.
• Minimally invasive approaches are increasingly preferred but not always feasible in emergencies.
• Converting open to laparoscopic surgery can potentially reduce patient morbidity.

Purpose of the Study:

• To demonstrate the feasibility of converting an emergency open surgical procedure to a minimally invasive laparoscopic approach.
• To highlight the potential benefits of this conversion strategy in selected emergency cases.

Main Methods:

• A case report detailing the conversion of an open procedure to a laparoscopic approach in an emergency setting.
• The patient presented with hemoperitoneum of unknown origin, initially managed with an open incision.
• The open incision was subsequently closed, and a laparoscopic approach was established.

Main Results:

• A 28-year-old female presented with suspected appendicitis, found to have hemoperitoneum upon open exploration.
• The cause was identified as a ruptured right ectopic pregnancy.
• Laparoscopic salpingectomy was performed, and the patient recovered uneventfully.

Conclusions:

• Conversion from an open to a laparoscopic approach in emergency surgery is possible for selected cases.
• This strategy can offer significant patient benefits by avoiding extensive laparotomy and its associated morbidity.
• Minimally invasive techniques can be successfully applied even in emergency surgical scenarios.