Laparoscopic diagnosis and treatment in gynecologic emergencies.
OBJECTIVE
To present an analysis of our experience with 22 consecutive cases of acute abdominal gynecologic emergencies managed with a laparoscopic approach.


METHODS
From March 1997 to October 1998, 22 patients with a diagnosis of acute abdominal gynecologic emergencies underwent laparoscopic intervention. A transvaginal ultrasound was performed on all patients preoperatively to supplement the diagnostic workup. Surgical time, complications, and length of hospital stay were evaluated, and the laparoscopic diagnosis was compared with the preoperative diagnosis.


RESULTS
The laparoscopic diagnosis was different from the preoperative diagnosis in 31.8% of patients. Of the 22 patients, laparoscopic therapeutic procedures were performed in 18 (81.8%), all satisfactorily, and with no need for conversion to open surgery. No morbidity or mortality occurred.


CONCLUSIONS
Laparoscopy is a safe and effective method for diagnosing and treating gynecologic emergencies.
Aulestia
Salvador Navarrete
SN
Surgery Department B, Faculty of Medical Sciences, Universidad Central de Venezuela, Caracas, Venezuela. sana24@telcel.net.ve
Cantele
Héctor
H
Leyba
José Luis
JL
Navarrete
Manuel
M
Llopla
Salvador Navarrete
SN
D000006:Abdomen, Acute / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D000328:Adult; D004630:Emergencies; D005260:Female; D005831:Genital Diseases, Female / Q000150:complications / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy; D008875:Middle Aged; D016896:Treatment Outcome