[The role of emergency laparoscopy in abdominal pain syndrome and in the assessment of abdominal trauma].
From January 1991 to June 1993 we performed 106 emergency laparoscopies. The patients' mean age was 31 years (17-90). There were 73 females (69%) and 33 males (31%). 8 (8%) laparoscopic evaluations of abdominal traumas were performed. Laparoscopy yielded a diagnosis in 89% of the cases. In 12 cases (11%) the laparoscopy was negative. Morbidity was 2% and mortality 3%. The mean hospital stay was 4.5 days. Today emergency laparoscopic evaluation of abdominal syndromes is performed routinely in most centers. The diagnostic rate is reported to be between 87-96% according to individual series. Laparoscopy may shorten the diagnostic delay, diminish the number of paraclinical investigations and in particular reduce the number of negative laparotomies.
Service de chirurgie, CHUV, Lausanne.
H
H
Vuilleumier
J F
JF
Cuttat
F A
FA
Wassmer
D000007:Abdominal Injuries / Q000175:diagnosis*; D015746:Abdominal Pain / Q000175:diagnosis*; D000208:Acute Disease; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D012680:Sensitivity and Specificity
Place de la laparoscopie en urgence dans le syndrome douloureux abdominal et dans l'évaluation de traumatismes abdominaux.