ArticleSurgical endoscopy2016
"Relaparoscopic" management of surgical complications: The experience of an Emergency Center.
Article in Surgical endoscopy, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 30 papers.
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Who cites it
30 citing papers in PubMed, 45 citations in OpenAlex.
- The Association of Polish Surgeons (APS) clinical guidelines for the use of laparoscopy in the management of abdominal emergencies. Part II.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2023Article
- Difficult laparoscopic cholecystectomy and preoperative predictive factors.Scientific reports · 2021Article
- Laparoscopic treatment of mesenteric avulsion and intestinal perforation after blunt abdominal trauma: A report of a case.International journal of surgery case reports · 2020Article
- Oh, My Gauze !!!- A rare case report of laparoscopic removal of an incidentally discovered gossypiboma during laparoscopic cholecystectomy.International journal of surgery case reports · 2020Article
- Small bowel obstruction after laparoscopic gastrectomy: An atypical clinical presentation. Report of a case.International journal of surgery case reports · 2020Article
- Ureteral injury during left colectomy for cancer: Laparoscopic management. A case report.International journal of surgery case reports · 2020Article
- Recurrent intussusception of small bowel in a young patient due to metastases from cardiac undifferentiated pleomorphic sarcoma: A first ever case report.International journal of surgery case reports · 2020Article
- Small bowel obstruction after caesarean section: Laparoscopic management. Two case reports.International journal of surgery case reports · 2020Article
- The colovescical fistula in diverticular disease: Laparoscopic approach in two different cases.International journal of surgery case reports · 2020Article
- Duodenal perforation as presentation of gastric neuroendocrine tumour: A case report.International journal of surgery case reports · 2020Article
- Unexpected finding of urachal remnant cyst. Tips for laparoscopic approach.International journal of surgery case reports · 2020Article
- Unusual giant chromophobe renal cancer totally managed with laparoscopic technique: Report of a case.International journal of surgery case reports · 2020Article
- Splenic lymphoma with complex gastro-spleno-diaphragmatic fistula: 3D laparoscopic multivisceral resection. The first literature case report.International journal of surgery case reports · 2020Article
- Giant mature teratoma in thymic tissue removed with uniportal vats approach.International journal of surgery case reports · 2020Article
- Inguinal tumorous mass - an uncommon late manifestation of chronic organized hematoma after laparoscopic transabdominal preperitoneal inguinal hernia repair: Two cases report.International journal of surgery case reports · 2020Article
- A case report of unexplained jejunal telangiectasia complicated with bleeding.International journal of surgery case reports · 2020Article
- Laparoscopic management of cholecystocolonic fistula: A case report and a brief literature review.International journal of surgery case reports · 2020Article
- Same-day endoscopic ultrasound, retrograde cholangiopancreatography and stone extraction, followed by cholecystectomy: A case report and literature review.International journal of surgery case reports · 2020Article
- Fetal spina bifida in a pregnant woman following omega gastric bypass: Case report and literature review.International journal of surgery case reports · 2020Article
- Intussusception induced by gastrointestinal metastasis of malignant melanoma: A case report.International journal of surgery case reports · 2020Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
BACKGROUND/
aimLaparotomy has been the approach of choice for re-operations in patients with surgical complications. The aim of this retrospective analysis was to evaluate the feasibility and the safety of laparoscopic approach for the management of general abdominal surgery complications. MATERIALS AND
methodsWe report a retrospective review of 75 patients who underwent laparoscopic evaluation for postoperative complications over a 4-year period. Primary outcomes (resolution rate by exclusive laparoscopic approach, conversion rate, further surgery rate) and secondary outcomes (mortality, hospitalization, prolonged ileus, wounds problems and median operative time) were evaluated.
resultsSixty-six patients (88 %) were managed with laparoscopic approach without conversion; of these, sixty-three patients (84 %) had no more or further complications and were discharged from hospital between 4 ± 3 days after "second-look" surgery; three patients (4 %) developed postoperative complications requiring a third surgery. Nine cases (12 %) underwent conversion in open surgery after laparoscopic approach. Two elderly patients (2.7 %) died in intensive care unit, because of multi-organ failure syndrome. Median time elapsed between an intervention and another was about 2.5 ± 9.5 days. Mean operative time was 90 ± 150 min. Postoperative hospital stay was between 4.5 and 18 days. DISCUSSION AND
conclusionLaparoscopy has begun to be the preferred method to manage postoperative problems, but only few reports are available actually. Our experience in "relaparoscopic" management of surgical complications seems to suggest that laparoscopy "second look" is an effective tool after open or laparoscopic surgery for the management of postoperative complications and it may avoid diagnostic delay and further laparotomy and related problems.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.