Laparoscopic diagnosis and treatment of postoperative complications

Boris Kirshtein, Sergey Domchik, Solly Mizrahi, Leonid Lantsberg

Research output: Contribution to journalArticlepeer-review

18 Scopus citations

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.

Original languageEnglish
Pages (from-to)19-23
Number of pages5
JournalAmerican Journal of Surgery
Volume197
Issue number1
DOIs
StatePublished - 1 Jan 2009
Externally publishedYes

Keywords

  • Complications
  • Diagnosis
  • Laparoscopy
  • Laparotomy
  • Relaparoscopy

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