Background: There are a large number of patients with penetrating abdominal trauma who have normal vital signs and negative abdominal examination when referred to trauma centers. A great deal of controversy exists between authorities about screening these patients for emergency explorative laparotomy. Many references have reported more than 90% sensitivity for DPLas a diagnostic method to deter...

he incidence of the diverticulum of the small bowel varies from 0.2-1.3% in autopsy studies to 2.3% when assessed on enteroclysis. it occurs mostly in patients in the 6th decade of their life. of all the small bowel diverticuli, jejunal diverticulum is the most common type. this rare entity is usually asymptomatic. however, they may cause chronic non-specific symptoms for a long period of time ...

Aim: Compare the efficacy of laparoscopic versus laparotomy approach in women with early stage endometrial adenocarcinoma. Methods: Case control retrospective study of 226 women treated of early endometrial cancer. 79 patients in the laparoscopy group and 147 in the laparotomy group. Variables analyzed in both groups were patient age, body mass index, duration of follow-up, FIGO 2009 surgical s...

PURPOSE To assess clinical factors, histopathologic diagnoses, operative time and differences in complication rates between women undergoing laparoscopy or laparotomy to diagnose and treat an adnexal mass and their association with laparoscopy failure. METHODS In this prospective study, 210 women were invited to participate and 133 of them were included. Eighty-eight women underwent laparotom...

OBJECTIVE The therapeutic approach to abdominal penetrating stab injuries has changed over the years from routine laparotomy to non-operative treatment. In case of organ or omental evisceration, although the laparotomy need is greater, non-operative treatment may be applied in selected cases. The aim of our study was to assess the follow-up and treatment outcomes of patients with organ or oment...

BACKGROUND Surgical resection is the only curative treatment for pancreatic and periampullary cancer, but many patients undergo unnecessary laparotomy because tumours can be understaged by computerised tomography (CT). A recent Cochrane review found diagnostic laparoscopy can decrease unnecessary laparotomy. We compared the cost-effectiveness of diagnostic laparoscopy prior to laparotomy versus...

The typical macroscopic features of Crohn's disease have been well described and are widely regarded as sufficient to diagnose the disease at laparotomy. We report six patients undergoing laparotomy for symptomatic Crohn's disease, shown radiologically, who were found to have macroscopically normal small bowel despite careful examination of the bowel by an experienced surgeon. In four cases res...

introduction: focused assessment with sonography for trauma (fast) is a highly effective first screening tool for initial classification of abdominal trauma patients. the present study was designed to evaluate the outcome of patients with blunt abdominal trauma and positive fast findings. methods: the present prospective cross-sectional study was done on patients over 7 years old with normal ab...

We present the case of a 46-year-old woman, with morbid obesity and a history of bariatric surgery with biliopancreatic derivation, and good postoperative evolution. One year after surgery, she presented symptoms of right upper quadrant pain of some hours duration, accompanied by fever and leukocytosis. We performed an abdominal CT with IV contrast which showed clinical indications of acute cho...