Open Access and Peer-reviewed
Home Journal Issues Guide for Authors Editorial Board Aims & Scope About Journal News & Announcements


Original Research 
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.


 
ARTICLE TOOLS
Abstract
PDF Fulltext
Print this article Print this Article
How to cite this articleHow to cite this article
Citation Tools
Related Records
 Articles by Junaid Zeb
Articles by Mohammad Zarin
Articles by Bilal Saeed
Articles by Bushra Zubair
Articles by Syed Asad Maroof
on Google
on Google Scholar
Article Statistics
 Viewed: 472
Downloaded: 122
Cited: 0


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: February 21, 2019].


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 February 21, 2019]; 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.








AUTHOR LOGIN

REVIEWER LOGIN

Indexed
&
Abstracted


Indexed in WHO Index Medicus IMEMR, Emromedex, Pakmedinet, ExtraMED and Scopus

  Approved by the Higher Education Commission of Pakistan and Pakistan Medical and Dental Council


ABOUT JOURNAL
POLICIES
STATEMENTS

This is an open access journal which means that all content is freely available without charge to the user or his/her institution. Users are allowed to read, download, copy, distribute, print, search, or link to the full texts of the articles in this journal without asking prior permission from the publisher or the author. This is in accordance with the Budapest Open Access Initiative (BOAI) definition of open access.

The articles in Rawal Medical Journal are open access articles licensed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc-sa/3.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.