OBJECTIVES To compare the results, complications, and hospital charges associated with laparoscopy versus laparotomy in second-look operations for epithelial ovarian cancer. METHODS We conducted a retrospective chart review of 109 patients with invasive epithelial ovarian cancer who underwent a second-look operation between July 1, 1992, and June 30, 1995. RESULTS Thirty-one patients (28.4%...

OBJECTIVE Acute wound failure is a common complication following surgical procedures and trauma. Laparotomy wound failure leads to abdominal dehiscence and incisional hernia formation. Delayed recovery of wound-breaking strength is one mechanism for laparotomy wound failure. Early fascial wounds are relatively acellular, and there is a delay in the appearance of acute wound growth factors and c...

BACKGROUND AND PURPOSE Laparoscopic antireflux surgery has recently been introduced as an alternative to laparotomy for the treatment of gastroesophageal reflux disease (GERD) at National Taiwan University Hospital. This study compared the results of traditional open and laparoscopic fundoplication for the treatment of GERD. MATERIALS AND METHODS The surgical records and medical charts of 29 ...

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...

Background: Surgical wound (site) infection is the commonest complication following laparotomy for clean-contaminated and contaminated abdominal operations. Good surgical technique and perioperative prophylactic antibiotics in clean-contaminated and contaminated abdominal operations contribute to the low rate of surgical wound infection and its complications. The objectives of this study were t...

Abstract Aim To assess the reliability of computerised tomography in post-operative sepsis patients who previously underwent laparotomy same hospital admission. Introduction Method This study was done on re-operations following an abdominal operation from April 2012 to 2016 at a district general hospital. Data regarding demography, initial operation, problems, pre-operative diagnosis, and use c...

Abstract Aim To improve the quality and completion of consent forms for patients undergoing emergency laparotomy. Methods A standard laparotomy forms, guided by recommendations from National Emergency Laparotomy Audit (NELA) was established. This used to score forms. Our initial audit 20 scored an average 41.9%. template sticker, specific laparotomy, created. contains all information deemed imp...