Laparoscopy In Acute Abdominal Disorders

In emergency preoperative diagnosis is most accurate in acute cholecystitis and least accurate in pelvic conditions and mesenteric ischemia. Laparoscopy has a double goal: establish or confirm diagnosis and treating the disorders. Laparoscopy identifies those patients who do not need surgery. Our experience includes 2,778 patients with surgical acute abdomen: 1,857 cases with acute cholecystitis, 719 cases with acute appendicitis, 57 cases with perforated peptic ulcer, 10 cases with intestinal obstruction on postoperative adhesions, 19 cases with abdominal trauma, 87 cases with acute adnexal pathologies, 4 cases with acute pancreatitis, 12 cases with mesenteric ischemia, 12 cases with abdominal abscesses and one case with false acute abdomen. Our experience clearly shows the feasibility and safety of the laparoscopic appendectomy. The minimal access approach brings back suture in the treatment of perforated peptic ulcer in the conditions of an efficient postoperative medical treatment.