Second-look laparoscopy for visceral ischemia facilitated by preinstalled ports.
Much of the information of a second-look laparotomy can be obtained by a second-look laparoscopy. We describe the strategy and technique of installing laparoscopy ports at the end of the primary laparotomy for visceral ischemia to facilitate a second-look laparoscopy in the ensuing 72 hours. The advantages and limitations are illustrated by three cases. The primary advantage appears to be that when second-look laparoscopy can be accomplished at a minimal cost, much of the inhibition to use it is removed. However, more experience is necessary before the procedure can be used to replace laparotomy.
Spittler
C
C
Department of Surgery, Meridia Huron Hospital, Cleveland, Ohio 44112, USA.
Chari
V
V
Husni
E
E
Patzakis
J
J
Li
P
P
Zelis
J
J
Chung
R
R
D015746:Abdominal Pain / Q000601:surgery; D000328:Adult; D000368:Aged; D000714:Anastomosis, Surgical; D002404:Catheterization / Q000295:instrumentation; D003106:Colon / Q000601:surgery; D003365:Costs and Cost Analysis; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007082:Ileum / Q000098:blood supply* / Q000601:surgery; D007238:Infarction / Q000601:surgery; D007511:Ischemia / Q000601:surgery*; D007583:Jejunum / Q000098:blood supply* / Q000601:surgery; D020706:Laparoscopes; D010535:Laparoscopy / Q000191:economics; D008297:Male; D008638:Mesenteric Arteries; D008641:Mesenteric Vascular Occlusion / Q000601:surgery*; D008642:Mesenteric Veins; D012086:Reoperation; D013927:Thrombosis / Q000601:surgery*