Abstract
| Lingua originale | English |
|---|---|
| pagine (da-a) | 2804-2810 |
| Numero di pagine | 7 |
| Rivista | Default journal |
| Volume | 30 |
| Stato di pubblicazione | Published - 2016 |
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All Science Journal Classification (ASJC) codes
- Surgery
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“Relaparoscopic” management of surgical complications: The experience of an Emergency Center. / Romano, Giorgio; Agrusa, Antonino; Gulotta, Gaspare; Di Buono, Giuseppe; Agrusa, Antonino; Di Buno, Giuseppe; Di Giovanni, Silvia; Frazzetta, Giuseppe; Chianetta, Daniela; Sorce, Vincenzo; Gulotta, Leonardo; Gulotta, Gaspare; Romano, Giorgio; Chianetta, Daniela; Frazzetta, Giuseppe; Di Giovanni, Silvia; Sorce, Vincenzo.
In: Default journal, Vol. 30, 2016, pag. 2804-2810.Risultato della ricerca: Article
}
TY - JOUR
T1 - “Relaparoscopic” management of surgical complications: The experience of an Emergency Center
AU - Romano, Giorgio
AU - Agrusa, Antonino
AU - Gulotta, Gaspare
AU - Di Buono, Giuseppe
AU - Agrusa, Antonino
AU - Di Buno, Giuseppe
AU - Di Giovanni, Silvia
AU - Frazzetta, Giuseppe
AU - Chianetta, Daniela
AU - Sorce, Vincenzo
AU - Gulotta, Leonardo
AU - Gulotta, Gaspare
AU - Romano, Giorgio
AU - Chianetta, Daniela
AU - Frazzetta, Giuseppe
AU - Di Giovanni, Silvia
AU - Sorce, Vincenzo
PY - 2016
Y1 - 2016
N2 - Background/aim: Laparotomy has been the approach of choice for re-operations in patients with surgical complications. The aim of this retrospective analysis was to evaluate the feasibility and the safety of laparoscopic approach for the management of general abdominal surgery complications. Materials and methods: We report a retrospective review of 75 patients who underwent laparoscopic evaluation for postoperative complications over a 4-year period. Primary outcomes (resolution rate by exclusive laparoscopic approach, conversion rate, further surgery rate) and secondary outcomes (mortality, hospitalization, prolonged ileus, wounds problems and median operative time) were evaluated. Results: Sixty-six patients (88 %) were managed with laparoscopic approach without conversion; of these, sixty-three patients (84 %) had no more or further complications and were discharged from hospital between 4 ± 3 days after “second-look” surgery; three patients (4 %) developed postoperative complications requiring a third surgery. Nine cases (12 %) underwent conversion in open surgery after laparoscopic approach. Two elderly patients (2.7 %) died in intensive care unit, because of multi-organ failure syndrome. Median time elapsed between an intervention and another was about 2.5 ± 9.5 days. Mean operative time was 90 ± 150 min. Postoperative hospital stay was between 4.5 and 18 days. Discussion and conclusion: Laparoscopy has begun to be the preferred method to manage postoperative problems, but only few reports are available actually. Our experience in “relaparoscopic” management of surgical complications seems to suggest that laparoscopy “second look” is an effective tool after open or laparoscopic surgery for the management of postoperative complications and it may avoid diagnostic delay and further laparotomy and related problems.
AB - Background/aim: Laparotomy has been the approach of choice for re-operations in patients with surgical complications. The aim of this retrospective analysis was to evaluate the feasibility and the safety of laparoscopic approach for the management of general abdominal surgery complications. Materials and methods: We report a retrospective review of 75 patients who underwent laparoscopic evaluation for postoperative complications over a 4-year period. Primary outcomes (resolution rate by exclusive laparoscopic approach, conversion rate, further surgery rate) and secondary outcomes (mortality, hospitalization, prolonged ileus, wounds problems and median operative time) were evaluated. Results: Sixty-six patients (88 %) were managed with laparoscopic approach without conversion; of these, sixty-three patients (84 %) had no more or further complications and were discharged from hospital between 4 ± 3 days after “second-look” surgery; three patients (4 %) developed postoperative complications requiring a third surgery. Nine cases (12 %) underwent conversion in open surgery after laparoscopic approach. Two elderly patients (2.7 %) died in intensive care unit, because of multi-organ failure syndrome. Median time elapsed between an intervention and another was about 2.5 ± 9.5 days. Mean operative time was 90 ± 150 min. Postoperative hospital stay was between 4.5 and 18 days. Discussion and conclusion: Laparoscopy has begun to be the preferred method to manage postoperative problems, but only few reports are available actually. Our experience in “relaparoscopic” management of surgical complications seems to suggest that laparoscopy “second look” is an effective tool after open or laparoscopic surgery for the management of postoperative complications and it may avoid diagnostic delay and further laparotomy and related problems.
UR - http://hdl.handle.net/10447/160306
M3 - Article
VL - 30
SP - 2804
EP - 2810
JO - Default journal
JF - Default journal
ER -