Emergency Laparoscopy Treatment

Laparoscopy was initially used for diagnostic and therapeutic purposes. But with the advancement of medical sciences, the role of laparoscopy was extended for emergency settings also. Emergency Laparoscopic treatment of acute abdomen was first proposed by Philippe Mouret in 1990 and since then it is being widely used for abdominal emergencies, especially- acute cholecystitis, appendicitis, perforated ulcers, Ectopic pregnancies,abdominal bleeding etc. Peptic ulcer perforation is the second most frequent abdominal perforation requiring surgery and accounts for 5% of abdominal emergencies.

Dr. Manish Motwani, an eminent laparoscopic surgeon and founder of Aastha healthcare, comments," When patients come to the emergency room, we prefer laparoscopy as it helps us to conduct an immediate diagnosis and can initiate treatment right there." Aastha is well equipped to handle any kind of emergencies. It is well equipped with all modern facilities and is supported by qualified and experienced surgeons. Laparoscopic surgery has improved our management of surgical emergencies and in certain conditions is now an essential part of our armamentarium. What is clear is that as surgical expertise and technology both continue to improve, so the remit for laparoscopic surgery will expand, to the benefit of our patients.

When emergency laparoscopy is performed, there can be two clinical scenarios :

In some emergency cases, diagnosis is done and a specific line of action is planned. Laparoscopic procedures are then performed.

In few cases, the abdominal pathology is uncertain or doubtful. In these cases, the primary aim of laparoscopy is diagnostic and then corrective.

Diagnostic Laparoscopy for Acute Abdominal Pain.

Laparoscopy for Abdominal Trauma (Blunt and Penetrating) .

Laparoscopic Management of Intestinal Obstruction.

Laparoscopic Management of Diverticulitis.

Laparoscopy for Acute Appendicitis.

Complicated ovarian cysts.

Pelvic inflammatory diseases.

Acute salpingitis.

Intestinal adhesions.

Mesenteric adenitis.

Ectopic pregnancy.

Endometriosis.

Complicated Meckel's diverticulum.

Omental necrosis.

Intestinal infarction.

Acute diverticulitis.

Bedside Laparoscopy in the ICU.

Laparoscopic Management of Perforated Ulcer.

Laparoscopy for Intestinal Ischemia.

Laparoscopic Re-operations for Postoperative Complications.
Emergency laparoscopic orchidectomy for torsion of intra-abdominal testis.

Generally the patient recovers faster than he would in an open surgery. But Ofcourse it all depends upon on the diagnosis of the patient at the time of operation and what the surgeon did to treat the disease. In most of the cases, the patients are encouraged to move about after few hrs of surgery. They can resume their normal activities after 7-12 days after surgery, depending upon the condition.

Accurate diagnosis of the pathology inside the abdomen.

Diagnostic and therapeutic surgery is possible at the same time.

Less post-operative pain.

Faster recovery.

Short hospital stay.

Less post-operative complications like wound infection, adhesion, hernia, etc.

Cost-effective in working group.