Laparoscopic diagnosis and treatment of postoperative complications

Abstract Background There is no unequivocal attitude to a laparoscopy as to the means in the diagnosis and treatment of postoperative surgical complications. Our study sought to determine the role of laparoscopy in the management of suspected postoperative complications. Methods We performed a retro...

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Bibliographic Details
Published in:The American journal of surgery 2009, Vol.197 (1), p.19-23
Main Authors: Kirshtein, Boris, M.D, Domchik, Sergey, M.D, Mizrahi, Solly, M.D., F.A.C.S, Lantsberg, Leonid, M.D
Format: Article
Language:English
Subjects:
Abdomen
Abdominal surgery
Adult
Aged
Aged, 80 and over
Bile
Biological and medical sciences
Cholecystectomy
Complications
Delay
Diagnosis
Diagnostic systems
Digestive system. Abdomen
Endoscopy
Female
Gangrene
General aspects
Hospitals
Humans
Infections
Investigative techniques, diagnostic techniques (general aspects)
Laparoscopy
Laparoscopy - adverse effects
Laparotomy
Male
Medical diagnosis
Medical sciences
Middle Aged
Morbidity
Mortality
Patients
Postoperative Complications - diagnosis
Postoperative Complications - etiology
Postoperative period
Relaparoscopy
Retrospective Studies
Sepsis
Stomach
Surgeons
Surgery
Surgical instruments
Surgical outcomes
Tomography
Ultrasonic imaging
Young Adult
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Summary:Abstract Background There is no unequivocal attitude to a laparoscopy as to the means in the diagnosis and treatment of postoperative surgical complications. Our study sought to determine the role of laparoscopy in the management of suspected postoperative complications. Methods We performed a retrospective review of the patients who underwent laparoscopy for complications of previous surgery over a 6-year period. Results Sixty-four patients underwent laparoscopy for complications during the study period including 49 laparoscopies, 14 laparotomies, and 1 endoscopic procedure. The median delay between operations was 2 ± 4.5 days. In 18 (28.1%) patients, laparoscopy did not find intra-abdominal pathology. The conversion to open surgery was necessary in 9 (14.1%) patients. Seven patients underwent more than 1 relaparoscopy. No cases of misdiagnosis were observed. Morbidity was 12.5%. There was no laparoscopy-related death. Conclusions Laparoscopy is an effective tool for the management of postoperative complications after open and laparoscopic surgery. It avoids diagnostic delay and unnecessary laparotomy.
ISSN:0002-9610
1879-1883
DOI:10.1016/j.amjsurg.2007.10.019