Related Experiment Videos
[Negative emergency laparotomies 1950-1989]
J Testart1, E Cheysson, C Peillon
1Service de Chirurgie générale, Hôpital Charles Nicolle, Rouen.
Annales De Chirurgie
|January 1, 1993
Summary
This study examined 24,494 laparotomies from 1950-1989, finding 211 negative laparotomies. The rates of emergency and negative laparotomies remained stable over four decades despite evolving diagnostic tools and patient demographics.
Area of Science:
- Surgical Pathology
- Emergency Medicine
- Abdominal Surgery
Context:
- Analysis of 24,494 laparotomies performed between 1950 and 1989.
- Focus on identifying and categorizing negative laparotomies.
- Historical data spanning four decades to observe trends.
Purpose:
- To document the incidence and reasons for negative emergency laparotomies.
- To assess the stability of emergency and negative laparotomy rates over time.
- To evaluate the impact of diagnostic advancements on laparotomy outcomes.
Summary:
- A total of 211 negative laparotomies were identified out of 24,494 procedures.
- Reasons included abdominal trauma, suspected intestinal obstruction, peritonitis, post-operative complications, and gastrointestinal bleeding.
- Emergency and negative laparotomy rates remained consistent across the study period.
Impact:
- Provides a historical benchmark for negative laparotomy rates.
- Highlights the persistent utility of emergency laparotomy despite diagnostic improvements.
- Informs surgical decision-making and resource allocation in emergency abdominal surgery.