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Emergency laparoscopy – current best practice

Oliver Warren email, James Kinross email, Paraskevas Paraskeva email and Ara Darzi email

Department of BioSurgery and Surgical Technology, Imperial College of Science, Technology and Medicine, St. Mary's Hospital, London, UK

author email corresponding author email

World Journal of Emergency Surgery 2006, 1:24doi:10.1186/1749-7922-1-24

Published: 31 August 2006

Abstract

Emergency laparoscopic surgery allows both the evaluation of acute abdominal pain and the treatment of many common acute abdominal disorders. This review critically evaluates the current evidence base for the use of laparoscopy, both diagnostic and interventional, in the emergency abdomen, and provides guidance for surgeons as to current best practise. Laparoscopic surgery is firmly established as the best intervention in acute appendicitis, acute cholecystitis and most gynaecological emergencies but requires further randomised controlled trials to definitively establish its role in other conditions.


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