place of laparoscopy in acute abdomen

ABSTRACT

Laparoscopy offers a simple safe and rapid mean of evaluation and diagnosis of intrabdominal diseases when the indications for laparotomy are equivocal. In this study laparoscopy was employed in 60 patients with acute abdomen. Three categories of patients were included, those with queery acute appendicitis [40 patients], those with blunt abdominal trauma [10 patients] and those with a provisional diagnosis of acute cholecystitis [10 patients]. Laparoscopy was done for every case for diagnosis and proceed accordingly.It was concluded that, laparoscopy is a very useful procedure in managing the patient who complained of acute abdominal pain and indication for laparotomy is equivocal. So the main value of laparoscopy in such cases were either avoiding unnecessary laparotomy or proceeding laparoscopically or ending into laparotomy