Open to laparoscopic conversion in hemoperitoneum of unknown origin
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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.
Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin.
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.
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.
KeywordsEctopic pregnancy Conversion Laparoscopy Hemoperitoneum
Conflict of interest
Supplementary material 1 (MPG 97939 kb)
- 1.Bouyer J. Epidemiology of ectopic pregnancy: incidence, risk factors and outcomes. J Gynecol Obstet Biol Reprod (Paris). 2003;32:S8–17.Google Scholar
- 3.Garbin O. Laparoscopic surgical treatment of tubal ectopic pregnancy. Epublication: WeBSurg.com, Nov 2001;1(11). http://www.websurg.com/ref/doi-ot02en154.htm.
- 4.Varma R, Gupta J. Tubal ectopic pregnancy. Clin Evid (Online). 2009;pii:1406.Google Scholar
- 6.Hajenius PJ, Mol F, Mol BW, Bossuyt PM, Ankum WM, van der Veen F. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev. 2007;(1):CD000324.Google Scholar
- 7.Hajenius PJ, Mol BW, Bossuyt PM, Ankum WM, van der Veen F. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev. 2000;(1):CD000324.Google Scholar
- 8.Guidelines for Laparoscopic Appendectomy. Practice/Clinical Guidelines published on: 04/2009 by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES). http://www.sages.org/publication/id/05/.
- 9.Neugebauer EAM, Sauerland S, Fingerhut A, Millat B, Buess G. European Association for Endoscopic Surgery (EAES): guidelines for endoscopic surgery. Berlin: Springer; 2006.Google Scholar
- 12.Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2010;(10):CD001546.Google Scholar