S Paun1, I Negoi2, R Ganescu2, M Beuran2. 1. General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania. drspaun@yahoo.com. 2. General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania.
Abstract
PURPOSE: Demonstrating the potential, in spite of the current trend, of closing an open emergency surgical procedure and to convert it to a minimally invasive approach. METHODS: Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin. RESULTS: A 28-year-old-female patient was transported to the operating room for suspected acute appendicitis. Through McBurney's incision, hemoperitoneum was found. She was hemodynamically stable. The open incision was closed and a laparoscopic approach established. The diagnosis was a ruptured right ectopic pregnancy with mild hemoperitoneum. After a laparoscopic salpingectomy, her recovery was uneventful. CONCLUSIONS: For selected cases, the conversion of an open procedure to a laparoscopic approach offers a real benefit for the patient, avoiding a large laparotomy and its associated morbidity.
PURPOSE: Demonstrating the potential, in spite of the current trend, of closing an open emergency surgical procedure and to convert it to a minimally invasive approach. METHODS: Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin. RESULTS: A 28-year-old-female patient was transported to the operating room for suspected acute appendicitis. Through McBurney's incision, hemoperitoneum was found. She was hemodynamically stable. The open incision was closed and a laparoscopic approach established. The diagnosis was a ruptured right ectopic pregnancy with mild hemoperitoneum. After a laparoscopic salpingectomy, her recovery was uneventful. CONCLUSIONS: For selected cases, the conversion of an open procedure to a laparoscopic approach offers a real benefit for the patient, avoiding a large laparotomy and its associated morbidity.
Authors: Angela M Ingraham; Mark E Cohen; Karl Y Bilimoria; Timothy A Pritts; Clifford Y Ko; Thomas J Esposito Journal: Surgery Date: 2010-08-24 Impact factor: 3.982