Laparoscopic management of the perforated viscus.
Perforation of a hollow viscus is an emergency which should prompt a rapid and effective treatment. Open surgery has been considered the standard approach, but the use of laparoscopy for diagnostic purposes and treatment in favorable circumstances and locations appears to be a safe alternative with a number of advantages. Indications and contraindications, which depend on the nature of the disease, the duration of the perforation and the location, are discussed in detail.
Kaiser
Andreas M
AM
Department of Surgery, Keck School of Medicine, University of Southern California, Los Angeles, CA 90033, USA.
Katkhouda
Namir
N
D000006:Abdomen, Acute / Q000175:diagnosis / Q000601:surgery; D003092:Colitis / Q000150:complications; D003108:Colonic Diseases / Q000209:etiology / Q000601:surgery; D000075202:Contraindications; D004939:Esophageal Perforation / Q000175:diagnosis / Q000601:surgery; D005773:Gastroscopy / Q000009:adverse effects; D005774:Gastrostomy / Q000379:methods; D006801:Humans; D007416:Intestinal Perforation / Q000175:diagnosis / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D010439:Peptic Ulcer Perforation / Q000175:diagnosis / Q000601:surgery; D013270:Stomach / Q000293:injuries; D014781:Viscera