- Apart from this, an increasing number of cesarean operations conducted in hospitals and medical centers have also increased the utilization of laparotomy
In our study, more than one previous laparotomy
was the only predictor of failure of conservative treatment of ASBO.
The dead fetus was removed by laparotomy
, previous scar area was stitched, and the patient had a successful recovery.
Of the eight patients, one patient had no positive DSA presentation at the time of initial angiography and underwent conservative treatment, five patients suffered from rebleeding following TAE, and two patients suffered from rebleeding of the SMA branches following laparotomy
. Among these patients, the rebleeding site was found in six patients as follows: two patients exhibited in situ rebleeding in the SpA, one patient exhibited rebleeding in the artery of the Drummond arcade (ICA-left colic artery), and three patients exhibited rebleeding in other arteries.
Patients with history of laparotomy
and patients with co-morbid conditions such as malignancy, malnutrition, diabetes mellitus, end stage renal disease, cirrhosis of liver, chronic obstructive pulmonary disease and ischemic heart disease were excluded from the study.
This was determined by laparotomy
in the initial five patients and confirmed by imaging by the other two in the post-operative period.
Of the total, 78(94.9%) patients were identified as positive for SBO on the CT scan and underwent laparotomy
. Of them, 74(95%) patients had true obstruction confirmed on laparotomy
, while 4(5%) patients didn't have SBO on laparotomy
This has lead to the concept of planned second look laparotomy
after 24 hours to reassess the bowel vascularity and perform resection of the infarcted bowel and save the rest of the intestine.
Critically ill general surgical patients require an OA because the definitive procedure may not be able to be completed at the index laparotomy
(Leppaniemi, 2010; van Hensbroek, Wind, Dijkgraaf, Busch & Goslings, 2008).
Patients were selected from the registry on the basis of the following defining characteristics: (1) emergency laparotomy
in the OR and an American Society of Anesthesiologist (ASA) physical status classification score was 4 (severe systemic disease, i.e., a constant threat to life such as sepsis, ongoing myocardial ischemia, or DIC) or 5 (moribund and is not expected to survive without operation) and (2) emergency laparotomy
at the bedside (BSL).
We would like to describe incarcerated femoral hernia procedure, utilizing novel technique which allows small laparotomy
through same skin incision, inspection and resection of compromised bowel, and durable tension-free transabdominal repair with Ventralex[TM] Hernia Patch.
It was planned for exploratory laparotomy
via left ventro-oblique lateral abominal site.