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RMJ. 2018; 43(4): 650-653


Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen

Junaid Zeb, Mohammad Zarin, Bilal Saeed, Bushra Zubair, Syed Asad Maroof.

Abstract
Objectives: To determine frequency and the reasons of conversion laparoscopic procedure into open surgery.
Methodology: This prospective cross sectional study was conducted in department of surgery, Khyber Teaching Hospital, Peshawar, Pakistan from January 2015 to July 2016. A sample of 200 patients was selected by using non probability convenient sampling technique. Complicated cases, which were difficult to handle by laparoscope were converted to open surgery after diagnoses were made while rests of cases were managed by laparoscopy at same time. Data were analyzed by SPSS version 16.
Results: Out of 200 patients, 135(67.5%) were males, 65(32.5%) females, 76(38%) from urban while 124(62%) from rural area. Mean age was 3511 years (range 15-85). 41(20.5%) were diabetics, 36(18%) were hypertensive while 26(13%) were smokers. Diagnosis was made successfully in all patients in whom acute appendicitis was most frequent (74.5%) followed by perforated duodenum in 6.5% of cases. In 22(11%) of cases the laparoscopy was converted into open procedure. The reasons of conversion in case of acute appendicitis were advance adhesions (25.75%), severe inflammation (35.25%) and bleeding in 34% of patients.
Conclusion: About one tenth of laparoscopic procedures were converted into open procedures. Reasons of conversion of laparoscopic procedures into open surgery in case of acute abdomen were adhesions, previous abdominal surgeries, severity and time of presentation of perforations, severe inflammation, severe bleeding and difficulties in visualization of anatomy.

Key words: Open surgery, laparoscopy, acute abdomen, adhesion.


 
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How to Cite this Article
Pubmed Style

Zeb J, Zarin M, Saeed B, Zubair B, Maroof SA. Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. RMJ. 2018; 43(4): 650-653.


Web Style

Zeb J, Zarin M, Saeed B, Zubair B, Maroof SA. Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. http://www.rmj.org.pk/?mno=296011 [Access: December 14, 2018].


AMA (American Medical Association) Style

Zeb J, Zarin M, Saeed B, Zubair B, Maroof SA. Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. RMJ. 2018; 43(4): 650-653.



Vancouver/ICMJE Style

Zeb J, Zarin M, Saeed B, Zubair B, Maroof SA. Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. RMJ. (2018), [cited December 14, 2018]; 43(4): 650-653.



Harvard Style

Zeb, J., Zarin, . M., Saeed, . B., Zubair, . B. & Maroof, . S. A. (2018) Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. RMJ, 43 (4), 650-653.



Turabian Style

Zeb, Junaid, Mohammad Zarin, Bilal Saeed, Bushra Zubair, and Syed Asad Maroof. 2018. Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. Rawal Medical Journal, 43 (4), 650-653.



Chicago Style

Zeb, Junaid, Mohammad Zarin, Bilal Saeed, Bushra Zubair, and Syed Asad Maroof. "Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen." Rawal Medical Journal 43 (2018), 650-653.



MLA (The Modern Language Association) Style

Zeb, Junaid, Mohammad Zarin, Bilal Saeed, Bushra Zubair, and Syed Asad Maroof. "Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen." Rawal Medical Journal 43.4 (2018), 650-653. Print.



APA (American Psychological Association) Style

Zeb, J., Zarin, . M., Saeed, . B., Zubair, . B. & Maroof, . S. A. (2018) Reasons for conversion of laparoscopic surgery into open surgery in patients of acute abdomen. Rawal Medical Journal, 43 (4), 650-653.




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