Comfort after Laparotomy

Laparoscopy after previous laparotomy.

Following the abdominal surgery, extensive adhesions often occur and they can cause difficulties during laparoscopic operations. However, previous laparotomy is not considered to be a contraindication for laparoscopy. The aim of this study is to present that an insertion of Veres needle in the region of umbilicus is a safe method for creating a pneumoperitoneum for laparoscopic operations after...

Postoperative pulmonary complications after laparotomy.

BACKGROUND The frequency of, and risks for, postoperative pulmonary complications (PPCs) after laparotomy are incompletely understood. The wide-ranging incidence of PPCs in the literature reflects methodological issues including variable definitions of PPCs and varied patient populations. OBJECTIVES We sought to elucidate the incidence of PPCs after laparotomy and clarify risks for their deve...

Development of incisional herniation after midline laparotomy

Factors influencing wound dehiscence after midline laparotomy.

PURPOSE To identify patients who have high risk of wound dehiscence and who might benefit from the use of internal retention sutures. PATIENTS AND METHODS Forty-eight patients with midline abdominal wound dehiscence were compared with 48 control patients standardized by sex, age, and operative indication. RESULTS The mean hospital stay was significantly prolonged in the dehiscence group, re...

The mechanism of hypoxaemia after laparotomy.