The gynaecologists were the first to start laparoscopy in the diagnosis and treatment, but since 1990s a lot of general surgeons have started to use this technique in the abdominal urgency, perforated peptic ulcer or intestinal obstruction.
Acute abdominal emergencies are diagnosed incorrectly or too late in 5 to 20% of cases. The delay in appropriate treatment, improper surgical access route and repeat surgery causes higher morbidity and mortality.
The emergency laparoscopy is done in the same way as elective laparoscopy only difference is that emergency laparoscopy should be done by a specialist laparoscopic surgeon and he should be able to perform laparoscopic surgery, once pathology is diagnosed inside the abdomen.
No, the telescope is used only to see and is not involved with the operation. Operation is done by long cylindrical instruments which is always under the vision of surgeon on monitor.
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In most of the cases the patient can start drinking liquids soon after coming out of the anaesthesia which is about 4 hours after the operation. They can start eating soon thereafter. The patient is allowed to get off the bed 4 hours after the surgery and walk to the toilet to pass urine.
– Patients with cardiac diseases and COPD are not good candidate for emergency laparoscopy – Patients who have had previous extensive abdominal surgery, emergency laparoscopy may be difficult.