LAPROSCOPY-A DIAGNOSTIC AND THERAPEUTIC TOOL IN MANAGEMENT OF ACUTE ABDOMEN
Abstract
The role of laparoscopy in the management of patients presenting to one surgical firm with an acuteabdomen is discussed. 37 laparoscopies were performed over a 24 months' period and it altered the
diagnosis in 24.3% of cases and the management in 13.5%of cases. At laparoscopy the diagnosis of
appendicitis was made in 17 patients (76.4% were attempted laparoscopic appendectomies), pelvic
inflammatory disease in 5 patients, torted ftmbrical cyst in 2 patients and free pus in the right lower
peritoneum as a result of a perforated appendix was seen in 4 patients. Normal laparoscopy was
performed in 5 patients and 2 patients who presented with a perforated duodenal ulcer had the
diagnosis confirmed at laparoscopy. 2 laparoscopie3ere performed on trauma patients, one stabbing
and one blunt trauma to the right hypochondrium. It has been demonstrated that diagnostic
laparoscopic is a useful adjunct to the general surgeon's armamentarium. It is suggested that the skill
of laparoscopy is passed on to junior trainee surgeons who can use this technique to help attain a
diagnosis in patients presenting with an acute abdomen
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