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Cirugía paraguaya

On-line version ISSN 2307-0420


FERREIRA, Rosa et al. EMERGENCY LAPAROSCOPIC SURGERY.: OUR RESULTS. Rev. Cir. Parag. [online]. 2012, vol.36, n.1, pp.21-24. ISSN 2307-0420.

ABSTRACT Introduction: laparoscopic surgery in our times represents a component bearing in the diagnosis and treatment of acute abdominal tables, especially in those with doubts. Material and methods: descriptive, observational, prospective study of patients operated emergency by video laparoscopic surgery, in the period of March 2008 to June 2010, in the II Catedra de Clinica Quirurgica.Hospital de Clinicas. FCM -UNA. Results Were 110 for the urgency, 88 patients were female and the male 22 patients. The average age was 49 years (age range between 18-80 years). 58.1 per cent (64 patients) operated presented acute cholecystitis, appendicitis acute 12.7% (14 patients); Laparoscopic diagnostic 13.6% (15 patients), 10.9% gynecological surgeries (12 patients) and peritonitis appendicular 4.5% (5 patients); with a 5.4% conversion rate (six patients). There was an increase in the use of laparoscopic surgery versus surgery opened in urgency of 0.5% of the 2008, 8.6% of the 2009 and June 2010 14%. The surgeries were performed by staff surgeons 76.3% (84 patients) and residents 23.7% (26 patients). Operative time was comprised between 40 and 220 minutes, with an average of 46.8 minutes. There is a 97.0% diagnostic accuracy; as well as a 5.4% (six patients) of complications of the laparoscopic surgical Act, hemoperitoneum in three patients, infection of the surgical wound in two patients and a patient with prolonged ileus. The time of post-operative hospitalization was 1-12 days, with an average of 2.7 days. The return to work was 12-15 days post operative. We had no deaths. Conclusions: the frequency of video emergency laparoscopic surgery is increasing in our service. Laparoscopic surgery is an alternative valid to deal with diseases that require emergency surgical exploration, provided the patient hemodynamic instability or other contraindications of anesthesia counter-indicates avoiding unnecessary laparotomías or diagnostic delays, that generate greater number of complications.

Keywords : Acute Abdomen.; Video laparoscopic surgery.; Results.

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