Skip to main content

Advertisement

SpringerLink
Log in

Die notfallmäßige Laparoskopie Bericht über 248 Untersuchungen

Emergency laparoscopy A report on 248 cases

  • Published:
Langenbecks Archiv für Chirurgie Aims and scope Submit manuscript

Summary

Evaluation of the diagnostic reliability of emergency peritoneoscopy in 248 cases. In 142 blunt abdominal traumas free blood was observed and confirmed by operation in 69 cases. In 53 cases free blood was absent (later confirmed). Miscellanous findings were reported in 19 cases, in 1 case the finding was false negative.

In 106 cases of suspected peritonitis there were no positive findings in 39 cases. Peritonitis was reported and later confirmed in 24 cases, carcinosis in 11 cases and bleedings in 8 cases. Two findings were false negative.

Emergency peritoneoscopy can not detect a mesenterial infarction in the early state, and is of limited value in cases of acute pancreatitis.

Zusammenfassung

Es wird über 248 bei Schwerkranken oder bei Polytraumatisierten durchgeführte notfallmäßige Laparoskopien berichtet. Die Untersuchungsergebnisse sind durch Operationsbefund, Autopsie oder Verlauf kontrolliert. 142 Untersuchungen wurden zum Nachweis von freiem Blut im Abdomen durchgeführt. Dabei wurde ein falsch negativer Befund erhoben. Unter 106 Untersuchungen zum Nachweis einer Peritonitis wurde eine Peritonitis und eine Peritonealcar zinose übersehen. Die notfallmäßige Laparoskopie ist nur beschränkt geeignet zum Nachweis eines Mesenterialinfarktes oder einer akuten Pankreatitis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

Literatur

  • Amerson, J. R., Stone, H. H.: Experiences in the management of hepatic trauma Arch. Surg.100, 150 (1970).

    PubMed  Google Scholar 

  • Baker, W. M. W., Mackie, O. B., Newcombe, J. F.: Diagnostic paracentesis in acute abdomen. Brit. med. J.1967 III, 146.

  • Brittain, R. S.: Liver trauma. Surg. Clin. N. Amer.43, 433 (1963).

    PubMed  Google Scholar 

  • Fahrländer, H.: Die Laparoskopie bei abdominellen NotfOlen. Dtsch. med. Wschr.94, 890 (1969).

    PubMed  Google Scholar 

  • Fahrländer, H., Engelhart, G., Baerlocher, Ch.: Emergency peritoneoscopy: report 160 on cases. Endoscopy2, 120 (1970).

    Google Scholar 

  • Giacobine, J. W., Siler, L. E.: Evaluation of diagnostic abdominal paracentesis with experimental clinical studies. Surg. Gynec. Obstet.110, 676 (1960).

    PubMed  Google Scholar 

  • Gjessing, J., Dencker, H.: Abdominal paracentesis with a dialysis catheter and peritoneal lavage in a diagnostic test in acute abdominal conditions. Acts, chir. scand.134, 351 (1968).

    Google Scholar 

  • Liebermann, R. C., Welch, C. St.: A study of 248 instances of traumatic rupture of the spleen. Surg. Gynec. Obstet127, 961 (1968).

    PubMed  Google Scholar 

  • Olsen, W. R., Hildreth, D. H.: Abdominal paracentesis and peritoneal lavage in blunt abdominal trauma. J. Trauma,11, 824 (1971).

    PubMed  Google Scholar 

  • Perry, J. F., De Meules, J. E., Root, H. D.: Diagnostic peritoneal lavage in blunt abdominal trauma. Surg. Gynec. Obstet.131, 742 (1970).

    PubMed  Google Scholar 

  • Pouyanne, L., Chevais, R., Genegas, J., Erny, P.: Interet de la ponction — lavage de l'abdomen en traumatologie. J. Chir. (Paris)99, 371 (1970).

    Google Scholar 

  • Veith, F. J., Webber, W. B., Karl, R. C., Deysine, M.: Diagnostic peritoneal lavage in acute abdominal disease. Amer. Surg.66, 290 (1967).

    Google Scholar 

  • Williams, R. D., Yurko, A. A.: Controversial aspects of diagnosis and management of blunt abdominal trauma. Amer. J. Surg.111, 477 (1966).

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Gastroenterologische Abt. des Med. und des Chirurgischen Departments der Universität, CH-4000, Basel, Schweiz

    H. Fahrländer

Authors
  1. H. Fahrländer
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fahrländer, H. Die notfallmäßige Laparoskopie Bericht über 248 Untersuchungen. Langenbecks Arch Chiv 331, 315–320 (1972). https://doi.org/10.1007/BF01239175

Download citation

  • Received:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01239175

Key words

Search

Navigation