Diagnostic accuracy of laparoscopy in non-traumatic emergency abdominal surgery

Ammari Smail *

Department of General Surgery, Ain Taya Hospital, Algiers, Faculty of Medicine of Algiers, Algiers University 1, Algeria.
 
Research Article
World Journal of Advanced Research and Reviews, 2024, 22(02), 1443–1449
Article DOI: 10.30574/wjarr.2024.22.2.1546
 
Publication history: 
Received on 09 April 2024; revised on 17 May 2024; accepted on 20 May 2024
 
Abstract: 
Introduction: Laparoscopy with high diagnostic accuracy allows for complete and direct visualization of the intraperitoneal viscera, significantly reducing therapeutic errors.
The objective of our study was to evaluate the diagnostic accuracy of laparoscopy in the management of non-specific acute abdomen.
Material and Methods: Descriptive and prospective, evaluative study conducted between February 2018 and October 2021, focusing on the role of emergency abdominal laparoscopy.
Results: Specificity, sensitivity, positive predictive value, and negative predictive value of laparoscopy in our patients were 100%. Intraoperatively, laparoscopy corrected the preoperative diagnosis in 15.73% of cases. It prevented unnecessary laparotomies in 05 cases.
Conclusion: Laparoscopy has a very high diagnostic accuracy. It can be safely used in emergency abdominal surgery, as a substitute for laparotomy.
 
Keywords: 
Laparoscopy; Diagnostic accuracy; Non-traumatic emergency; Abdominal surgery
 
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