Cardiovascular and respiratory changes in children during diagnostic laparoscopy and laparoscopic surgery

During the period of three years, 1,414 patients underwent laparoscopic surgery. 18 patients underwent diagnostic laparoscopy under local anaesthesia. All these patients in addition to the suspected pathology of the abdominal cavity were diagnosed with severe concomitant cardiopulmonary pathology including acute myocardial infarction, ischemic and hemorrhagic stroke, coma of various genesis, pneumonia. The proposed technique included a local anaesthesia around the navel, laparolifting, the insertion of a laparoscope and a short inspection (3-5 min) of the abdominal organs. Sometimes, especially in patients with hypertension, spinal or epidural anesthesia was used. While diagnosticating the pathology, if necessary, the anaesthesia was given, carboperitonium was applied and the necessary surgery was performed.

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Update on Laparoscopic Surgery at the Georgetown Public Hospital Corporation

Journal of Advances in Medicine and Medical Research ◽

10.9734/jammr/2019/v30i1230270 ◽

2019 ◽

pp. 36-37

Author(s):

Joshua Bhudial ◽

Hemraj Ramcharran ◽

Navindranauth Rambarran ◽

Delon Ramnarine

Keyword(s):

Laparoscopic Surgery ◽

Surgical Approach ◽

Public Hospital ◽

Diagnostic Laparoscopy ◽

Operating Theatre ◽

Published Data ◽

The Past ◽

Significant Difference ◽

Ventral Hernias ◽

Main Operating

Background: Laparoscopic surgery is a pioneering technique that has metamorphosed the field of surgery in the past and is now considered the recommended surgical approach for many procedures. 1 The last published data showed an average of eight cases per month. 5 The purpose of this study was to assess an increase or decrease in the number of Laparoscopic surgeries at GPHC and if there were more advanced cases as compared to the last published data. Methods: Data of the laparoscopic surgeries done at GPHC for the year 2018 was obtained from the records in the Main Operating theatre. Data collected will focus on the number and type of Laparoscopic surgeries. Results: An audit of GPHC operating register shows a total of 180 cases for 2018 representing an average of 15 cases per month. There was a significant difference in the first six months of 2018 (5 cases per month) versus the last six months of 2018 (25 cases per month). A total of 19 cases were converted. Most of the advanced cases were done in latter half of 2018 and included 27 diagnostic laparoscopy, 9 inguinal hernias, 2 AP resections, 2 Graham’s patch, 2 ventral hernias, 2 rectopexy and 1 Heller’s myotomy. Conclusion: The number of laparoscopic surgeries at GPHC has increased significantly especially in the latter half of 2018. This number has risen to three times the number in the last published data. While the majority of cases continued to be cholecystectomy and appendectomies, a greater variety of advanced cases were done in 2018 as compared to the last published data.

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Abdominoscrotal Hematocele in an Adult and Its Successful Treatment

Sultan Qaboos University Medical Journal [SQUMJ] ◽

10.18295/squmj.4.2021.068 ◽

2021 ◽

Author(s):

Uday S. Kumbhar ◽

Sandeep Bhattarai ◽

Oseen Shaikh

Keyword(s):

Abdominal Pain ◽

Laparoscopic Surgery ◽

Surgical Procedure ◽

Diagnostic Laparoscopy ◽

Inguinal Canal ◽

Rare Complication ◽

Internal Ring ◽

Open Procedure ◽

Laparoscopic Surgical Procedure ◽

Abdominoscrotal Hydrocele

Abdominoscrotal hydrocele (ASH) is a variant of hydrocele rare to occur in adults. ASH has two sacs, one in the scrotum and one in the abdomen connected through the inguinal canal. Abdominoscrotal hematocele is a rare complication of ASH. We present a 57-year-old male patient, presented to us in August 2019 to JIPMER, Puducherry, India, with complaints of swelling in the scrotum for 15years and abdominal pain for two months. Both the swellings were soft, and cross fluctuation was present. Imaging confirmed the diagnosis of ASH. We did diagnostic laparoscopy, and the abdominal sac was decompressed and found to have thick brownish fluid suggestive of hematocele. We could demonstrate that both sacs were connected. Due to difficulty in the dissection of the sac, the procedure was converted to an open procedure. Both the sacs were excised, and Lytle’s repair was done for the dilated internal ring. Keywords: Testicular Hydrocele, Scrotal Hydrocele, Hydrocele, Hematocele, Testicular Hematocele, Scrotal Hematoceles, Laparoscopic Surgical Procedure, Laparoscopic Surgery

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Diagnostic laparoscopy and emergencies following laparoscopic surgery

10.1093/med/9780199651382.003.0019 ◽

2016 ◽

Author(s):

Stergios K. Doumouchtsis ◽

S. Arulkumaran ◽

Hugh Byrne

Keyword(s):

Laparoscopic Surgery ◽

Diagnostic Laparoscopy

This chapter describes diagnostic laparoscopy in gynaecology (indications, contraindications, assessment, risks, consent), performing a diagnostic laparoscopy (safety advice, insufflation, secondary ports, diathermy/electrocautery) and emergencies following laparoscopic surgery (signs of laparoscopic injury, investigations, and management).

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Diagnostic laparoscopy in blunt abdominal trauma

Vietnam Journal of Endolaparoscopic Surgery ◽

10.51199/vjsel.2020.2.3 ◽

2020 ◽

Vol 10 (2) ◽

Author(s):

Tư Hoàng lê ◽

Tiến Thành Nguyễn

Keyword(s):

Laparoscopic Surgery ◽

Abdominal Trauma ◽

Blunt Abdominal Trauma ◽

Diagnostic Laparoscopy ◽

Diagnostic Method ◽

Abdominal Cavity ◽

Descriptive Study ◽

Associated Lesions ◽

Laparoscopy Surgery ◽

Multiple Traumas

Tóm tắt Đặt vấn đề: Chấn thương bụng kín (CTBK) rất khó chẩn đoán. Phẫu thuật nội soi (PTNS) nhìn rõ tổn thương có thể điều trị, liệu có thể là biện pháp chẩn đoán hỗ trợ trong cấp cứu? Phương pháp nghiên cứu: Nghiên cứu tiến cứu, các người bệnh (NB) bị CTBK khó chẩn đoán được ứng dụng PTNS chẩn đoán. Kết quả: 34 NB bị CTBK được ứng dụng PTNS để chẩn đoán. 73,5% có chấn thương phối hợp, 47% có tổn thương 2 tạng trở lên trong ổ bụng. 26 NB (76,5%) được chỉ định nội soi ổ bụng (NSOB) thăm dò chẩn đoán. 8 NB (23,5%) cần loại trừ tổn thương phối hợp. PTNS phát hiện được hết các tổn thương nhất là tổn thương tạng rỗng, mạc treo trừ tổn thương tạng đặc nhỏ sâu trong nhu mô và sau phúc mạc. Không có biến chứng do PTNS chẩn đoán gây ra. Kết luận: PTNS là biện pháp chẩn đoán xâm lấn tối thiểu có thể chẩn đoán an toàn, chính xác tổn thương trong ổ bụng ở NB bị CTBK. Ngoài ra có thể sửa chữa những tổn thương không quá phức tạp. Abstract Introduction: Diagnosis of blunt abdominal trauma (BAT) is challenging. Laparoscopy surgery allows us to see the lesions clearly for proper treatment, assist - it as a diagnostic method in emergency? Materials and Methods: Perspective descriptive study for all patients with BAT, very difficulty in diagnosis, were operated laparoscopically for this purpose. Results: Diagnostic laparoscopy was carried out in 34 BAT. 73,5% of patients had multiple traumas, 47% had more 1 injured organs in abdominal cavity. 26 patients (76,5%) was indicated to laparoscopic surgery for diagnosis purpose. It is necessery to exclude the associated lesions in 8 patiens (23,5%). Almost lesions were detected by laparoscopic surgery such lesions of hollow viscera, mesenteric lesions excepted the small lesions located deeply in parenchyme of solid viscera or retroperitoneal. No complication due to diagnostic laparoscopy occurred . Conclusion: Laparoscopic surgery is a minimally invasive, safe and accurate diagnostic approach for BAT. It also can repair the simple lesions during operation. Keywords: Diagnostic laparoscopy, abdominal trauma.

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DIAGNOSTIC LAPAROSCOPY: Utility and solving diagnostic dilemmas

JMS SKIMS ◽

10.33883/jms.v21i2.368 ◽

2019 ◽

Vol 21 (2) ◽

pp. 70-71

Author(s):

Ajaz A Malik

Keyword(s):

Laparoscopic Surgery ◽

Minimally Invasive ◽

Open Surgery ◽

Diagnostic Laparoscopy ◽

Minimal Invasive ◽

Invasive Technique ◽

Basic Procedure ◽

Almost All ◽

Minimal Invasive Techniques ◽

Invasive Techniques

Diagnostic laparoscopy is the basic procedure in laparoscopic surgery that has wide utility in practice, thus avoiding morbidity associated with open surgery. Laparoscopy is a minimally invasive technique wherein a fibre optic instrument is inserted through the abdominal wall to view the organs in abdomen/pelvis and permit the diagnosis and necessary surgical procedure. Nowadays, almost all general surgical procedures can be performed using minimal invasive techniques. Laparoscopy can be performed both for diagnostic as well as for therapeutic purposes. JMS 2018: 21 (2):70-71

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Routine group and save screening prior to emergency laparoscopic surgery

Annals of The Royal College of Surgeons of England ◽

10.1308/rcsann.2020.7135 ◽

2021 ◽

Author(s):

S Alyacoubi ◽

T Taj ◽

I Raza

Keyword(s):

Laparoscopic Surgery ◽

Diagnostic Laparoscopy ◽

Laparoscopic Appendicectomy ◽

Transfusion Rate ◽

Primary Operation ◽

Patient Cohort

Introduction Two group and save (G&S) samples are routinely collected from patients undergoing diagnostic laparoscopy and/or emergency appendicectomy. We aimed to identify the necessity of this practice by looking at the perioperative transfusion rates. Methods Data were obtained from our electronic theatre system for all patients who underwent emergency laparoscopic surgery (specifically diagnostic laparoscopy and/or laparoscopic appendicectomy) between January 2017 and December 2018. Records were reviewed for the number of G&S samples sent and perioperative transfusion rates. Results A total of 451 patients were included in the study. The numbers of procedures performed in 2017 and 2018 were 202 (44.8%) and 249 (55.2%), respectively. The total number of samples sent was 930. Only 786 (84.5%) samples were processed and the rest were rejected for various reasons. Of the 451 patients included in the study, 308 (68.3%) had two G&S samples sent, whereas 41 patients (9.1%) had only one G&S sample sent. Fifty-six (12.4%) and 20 (4.4%) patients had three and four G&S samples sent, respectively. Only two patients required transfusion perioperatively (0.4%), and the indication in both was irrelevant to the primary operation. Conclusions These results demonstrate a near-zero transfusion rate in this patient cohort. Omitting G&S is safe and potentially saves time and resources.

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Laparoscopy in the diagnosis and treatment of cryptorchidism

Urologia Journal ◽

10.1177/039156039606300323 ◽

1996 ◽

Vol 63 (3) ◽

pp. 389-393

Author(s):

C. Milani ◽

F. Aragona ◽

W. Caldironi ◽

I.M. Tavolini ◽

P. Bassi ◽

...

Keyword(s):

Laparoscopic Surgery ◽

Diagnostic Laparoscopy ◽

Pediatric Patients ◽

Adult Patients ◽

Diagnosis And Treatment ◽

Surgical Exploration ◽

Less Invasive ◽

Short Time ◽

Laparoscopic Orchiopexy ◽

Abdominal Testis

Laparoscopy plays an outstanding role in the diagnosis of non palpable testis. Laparoscopy is as accurate as surgical exploration but, compared with the latter, is less invasive and faster; moreover in cases of testicular absence it makes surgery unnecessary. Concerning laparoscopic surgery in the case of abdominal testis, orchiectomy is an easy procedure which prolongs diagnostic laparoscopy for only a short time. It is indicated in pediatric patients with hypoplasic testis. In adult patients, except for cases of monorchidism and bilateral abdominal testis, orchiectomy is always recommended. At present laparoscopic orchiopexy does not seem to offer sure advantages compared to traditional surgery.

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Trends of laparoscopic gynecologic surgeries in a tertiary care center: A five-year retrospective study

Grande Medical Journal ◽

10.3126/gmj.v1i1.22402 ◽

2019 ◽

Vol 1 (1) ◽

pp. 26-30

Author(s):

Asmita Ghimire ◽

Padam Raj Pant ◽

Nilam Subedi ◽

Samriddha Raj Pant

Keyword(s):

Laparoscopic Surgery ◽

Retrospective Study ◽

Ovarian Cyst ◽

Diagnostic Laparoscopy ◽

Care Center ◽

Tertiary Care ◽

Age Group ◽

Tertiary Care Center ◽

Common Procedure ◽

Current Trends

Background: The use of laparoscopic surgery in modern gynecology has led to faster recovery, lesser hospital stay, and fewer complications. In this study, we aim to analyze the current trends in laparoscopic surgery, its indications, type of procedure and associated complications. Method: This is a retrospective study done in Grande International Hospital. All patients who underwent laparoscopic surgery over a duration of 5 years from July 2013 to June 2018 were analyzed. Result: There were a total of 419 laparoscopic surgeries (74 diagnostic, 345 therapeutic) performed. The most common age group of patients for diagnostic laparoscopy was 25-34 years and for therapeutic was 45-54 years. Therapeutic surgery was mostly performed for ovarian cyst (144, 41.74%). There were a total of 152 (44.06%) laparoscopic hysterectomies performed. Complications which occurred during the surgery were insignificant (p<0.01). Conclusion: Laparoscopic surgery has become the most common procedure for gynecological procedures over the years.

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