Abstract
Purpose
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.
Methods
Case report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin.
Results
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.
Conclusions
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.
Similar content being viewed by others
References
Bouyer J. Epidemiology of ectopic pregnancy: incidence, risk factors and outcomes. J Gynecol Obstet Biol Reprod (Paris). 2003;32:S8–17.
Bouyer J, Coste J, Fernandez H, Pouly JL, Job-Spira N. Sites of ectopic pregnancy: a 10 year population-based study of 1800 cases. Hum Reprod. 2002;17:3224–30.
Garbin O. Laparoscopic surgical treatment of tubal ectopic pregnancy. Epublication: WeBSurg.com, Nov 2001;1(11). http://www.websurg.com/ref/doi-ot02en154.htm.
Varma R, Gupta J. Tubal ectopic pregnancy. Clin Evid (Online). 2009;pii:1406.
Clausen I. Conservative versus radical surgery for tubal pregnancy. A review. Acta Obstet Gynecol Scand. 1996;75:8–12.
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.
Hajenius PJ, Mol BW, Bossuyt PM, Ankum WM, van der Veen F. Interventions for tubal ectopic pregnancy. Cochrane Database Syst Rev. 2000;(1):CD000324.
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/.
Neugebauer EAM, Sauerland S, Fingerhut A, Millat B, Buess G. European Association for Endoscopic Surgery (EAES): guidelines for endoscopic surgery. Berlin: Springer; 2006.
Katkhouda N, Mason RJ, Towfigh S, Gevorgyan A, Essani R. Laparoscopic versus open appendectomy: a prospective randomized double-blind study. Ann Surg. 2005;242:439–50.
Ingraham AM, Cohen ME, Bilimoria KY, Pritts TA, Ko CY, Esposito TJ. Comparison of outcomes after laparoscopic versus open appendectomy for acute appendicitis at 222 ACS NSQIP hospitals. Surgery. 2010;148:625–35.
Sauerland S, Jaschinski T, Neugebauer EA. Laparoscopic versus open surgery for suspected appendicitis. Cochrane Database Syst Rev. 2010;(10):CD001546.
Cariati A, Masini R. Hospital bill in open and laparoscopic appendectomy. Ann Surg. 2004;240:562–3.
Conflict of interest
None.
Author information
Authors and Affiliations
Corresponding author
Electronic supplementary material
Below is the link to the electronic supplementary material.
Supplementary material 1 (MPG 97939 kb)
Rights and permissions
About this article
Cite this article
Paun, S., Negoi, I., Ganescu, R. et al. Open to laparoscopic conversion in hemoperitoneum of unknown origin. Eur J Trauma Emerg Surg 38, 79–81 (2012). https://doi.org/10.1007/s00068-011-0173-7
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00068-011-0173-7