Bedside laparoscopy (BSL) for postoperative follow-up of mesenteric infarct and diffuse peritonitis

Waclawiczek, H.W.; Sungler, P.; Boeckl, O.

Langenbecks Archiv für Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft für Chirurgie. Kongress 114: 708-710

1997


ISSN/ISBN: 0942-2854
PMID: 9574246
Document Number: 476088
Bedside laparoscopy (BSL) for postoperative follow-up in mesenterial infarction of the intensive care patient undergoing respiration treatment represents an important tool for avoiding second-look operations and/or for precisely securing the indication for a relaparotomy. Up until now, nine patients with mesenterial infarction have undergone a BSL, allowing five of then to avoid a second-look operation in this way. Of these nine patients, three died due to a diffuse peritonitis with anastomotic dehiscence, a pulmonary embolism, and a perforation of the stomach after PEG tube deplacement, respectively. Thus BSL represents a low-complication and simply performed method for postoperative follow-up, especially in mesenterial infarction, but also in cases of diffuse peritonitis.

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