BACKGROUND How should the stable patient with penetrating abdominal or lower chest trauma be evaluated? Evolving trends have recently included the use of diagnostic laparoscopy. In September 1995 we instituted a protocol of diagnostic laparoscopy to identify those patients who could safely avoid surgical intervention. DESIGN Prospective case series. MATERIALS AND METHODS Hemodynamically sta...

INTRODUCTION Laparoscopy, as a minimally invasive diagnostic and therapeutic tool in blunt abdominal trauma (BAT), is not commonly used and has been shown to be controversial. The aim of this study is to assess the role of laparoscopy in the diagnosis and therapy of BAT. METHODS A systematic review and a comprehensive literature search was performed at the U.S. National Library of Medicine si...

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%...

INTRODUCTION Laparoscopy has become the gold standard for many surgical cases in the developed world. It however, remains a rarity in developing countries for several reasons, a major one being cost. This study aimed to determine the knowledge and attitude of patients attending Komfo Anokye Teaching Hospital (KATH) in Kumasi, Ghana toward laparoscopic surgery and their willingness to pay for it...

We used the modified one finger laparoscopy technique on 100 patients and found it to be successful in 87% of cases. No major complication occurred during or after such operations. However, we think that this technique is accompanied by three important problems: 1) The CO2 gas is lost f1"om the subumbilical incision, 2) A secondary fascial layer is present in some patients, and 3) There i...

PURPOSE To identify differences in clinical features between laparoscopy and open resection for primary tumor in patients with stage IV colorectal cancer. We also evaluated short-term and oncologic outcomes after laparoscopy and open surgery. METHODS A total of 100 consecutive stage IV patients undergoing open (n=61) or laparoscopic (n=39) major resection were analyzed. There were four cases ...

AIM To evaluate the short-term and oncological outcomes of laparoscopy compared to open procedures for colorectal cancer in the emergency setting. PATIENTS AND METHODS Forty-nine consecutive patients undergoing emergency open (n=38) or laparoscopic (n=11) major resection were analyzed. RESULTS There were no significant differences in age, gender, American Society of Anesthesiologists (ASA) ...

OBJECTIVE To compare tuboperitoneal factors of infertile women by hysterosalpingography (HSG) and laparoscopy. METHODS In this cohort study, 82 infertile cases were evaluated retrospectively by laparoscopy, 3 months subsequent to HSG in the Department of Gynecology and Obstetrics, Medical School of Dicle University, Diyarbakir, Turkey, between March 2004 and April 2006. The findings of HSG an...