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[Emergency laparoscopy in hematology practice]

O A Fadeev, V A Klimanskiĭ

    Gematologiia I Transfuziologiia
    |May 1, 1995
    PubMed
    Summary

    Urgent laparoscopy is safe and effective for patients with hematological diseases, even those with bleeding risks. This minimally invasive procedure aids in diagnosing acute abdominal conditions, preventing unnecessary surgeries.

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    Area of Science:

    • Minimally invasive surgery
    • Gastroenterology
    • Hematology

    Background:

    • Urgent abdominal conditions in patients with hematological diseases pose diagnostic challenges.
    • Hematological diseases often present with hemorrhagic syndrome, increasing surgical risks.
    • Laparoscopy offers a minimally invasive approach for diagnosis and treatment.

    Observation:

    • Thirty-one patients with hematological diseases underwent urgent laparoscopy.
    • Patients were in serious condition with apparent hemorrhagic syndrome.
    • Diagnostic difficulties in acute abdominal conditions were noted.

    Findings:

    • Laparoscopy outcomes were favorable despite patient comorbidities.
    • No laparoscopy-related complications were recorded.
    • Surgical intervention was avoided in 50% of cases due to endoscopic findings.
    • Timely surgical interventions were performed in 11 patients.

    Implications:

    • Urgent laparoscopy is a safe and valuable tool for diagnosing acute abdominal conditions in hematology patients.
    • The procedure can prevent unnecessary surgeries, reducing patient morbidity.
    • Laparoscopy facilitates timely and appropriate surgical management when indicated.

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