Role of laparoscopy in acute lower abdominal episodes in women
Review of the last 10 years, British Hospital’s Gynecology DepartmentABDOMEN, ACUTE - diagnosis
Keywords:
ACUTE ABDOMEN, LAPAROSCOPYAbstract
Introduction: acute lower abdominal episodes in women are the most frequent cause of consultation at the emergency room. The role of laparoscopy as a diagnostic and therapeutic tool, especially in women, has been well established. It allows for valid diagnosis in all cases since it enables the visualization of the entire abdominal cavity by means of a minimally invasive approach, it avoids diagnostic delays and its resulting complications in the evolution.
Objective: to describe, analyze and communicate the casuistics of laparoscopic surgery for acute lower abdominal episodes at the British Hospital's Gynecology Department in the last ten years. We analyzed the following variables: age of consultation, nosological findings indication, resolution and complications.
Results: maximum prevalence of acute abdominal episodes was between 30 and 35 years of age; the most frequent of which were cases of ectopic pregnancy, ovarian cysts, followed by adnexal torsions. Laparoscopic resolution could be performed in 93% of pathological pelvicoscopies. Only 7% of patients required laparothomic approach, the main indication of which was ovarian tube abscess.
References
(2) Genevois A, Marouteau N, Lemercier E, Dacher JN, Thiebot J. [Imaging of acute pelvic pain in women]. J Radiol 2008; 89(1 Pt 2): 92-106.
(3) Warren O, Kinross J, Paraskeva P, Darzi A. Emergency laparoscopy-current best practice. World J Emerg Surg 2006; 1: 24.
(4) Scasso JC. Introducción a la cirugía endoscópica ginecológica. Montevideo: Ediciones de la Plaza, 2002.
(5) Royal College of Obstetrics and Gynaecologists. Green-Top Guideline No. 49: preventing entry-related gynaecological laparoscopic injuries. London: RCOG, 2008.
(6) Agresta F, Mazzarolo G, Ciardo LF, Bedin N. The laparoscopic approach in abdominal emergencies: has the attitude changed? A single-center review of a 15-year experience. Surg Endosc 2008; 22(5): 1255-62.
