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At least 1,243 records · Page 69Linked to original sources
PubMed1990

[Dynamic laparoscopy in patients with gynecologic diseases].

Follow-up laparoscopy is of great help in the evaluation of progress of inflammatory pelvic disease and postoperative course in patients operated on for tubal and peritoneal infertility. The use of special cannulas allows repeat laparoscopies in a patient at any time, without new abdominal punctures. Follow-up laparoscopy enables drug administration into the inflammatory site, laparoscope-guided water insufflation and early abolition of adhesions.

Female↗
PubMed1990

Clinical and scientific implications of second-look laparoscopy.

Second-look laparoscopy is an important tool to evaluate the results of a given reproductive surgery or the efficacy of ancillary measures used during surgery. The efficacy of this technique to improve intrauterine pregnancy rates, however is still unclear. Late second-look laparoscopy does not enhance the pregnancy rate but the efficacy of early second-look laparoscopy remains to be seen in an ethical and randomized controlled trial.

Animals↗
PubMed1990

[Diagnostic and therapeutic laparoscopy in surgical practice].

The results of laparoscopy in 1,000 patients with various diseases are analysed. The indications for laparoscopy in different groups of patients are shown. Various laparoscopic operations were carried out on 789 patients. The most frequently performed interventions were cholecystostomy (n = 229), liver biopsy (n = 195), cholecystostocholangiography (n = 75), and diathermocoagulation of the hepatic surface (n = 36). Curative measures used in patients with obstructive and parenchymatous jaundice are discussed. The significance of diagnostic laparoscopy in emergency surgery is shown.

Abdomen, Acute↗
PubMed1990

Laparoscopy and minilaparotomy as operative management of ectopic pregnancy.

The widespread use of serum human chorionic gonadotropin (hCG) monitoring has enabled earlier diagnosis of ectopic pregnancy and increasingly conservative methods of management including operative laparoscopy, medical therapy with methotrexate, and expectant management. We investigated the use of a combined laparoscopic and minilaparotomy approach as an operative management of ectopic pregnancy. Fifteen of 16 patients presenting to the Reproductive Endocrinology Service were managed using either operative laparoscopy or minilaparotomy. Serum hCG values at the time of diagnosis ranged from 239 to 8060 mIU/ml. Nine patients were managed by operative laparoscopy and six by minilaparotomy. All patients were ambulatory and tolerating oral intake within 8 hours of surgery. The average hospitalization was 31 hours from the time of surgery. Thirty-five percent of the patients were discharged within 24 hours and an additional 40% within 36 hours. This approach was applicable to all patients regardless of body habitus, degree of hemoperitoneum, or status of the ectopic pregnancy. Such a combined approach permitted minimal tissue manipulation and shortened hospitalization. Data of the present study suggest that such an approach may be applicable to most clinical circumstances, performed without undue morbidity and potentially avoid a standard laparotomy and its attendant risks and hospitalization.

Chorionic Gonadotropin↗
PubMed1990

[Carbon dioxide pneumoperitoneum with gynecologic laparoscopy as a safe procedure in general anesthesia].

The studies have been performed in 33 women aged 12 to 60 years, underwent gynecological laparoscopy in complex general anesthesia with intubation. The pneumoperitoneum was induced by CO2. Laparoscopy was made according to the H. Frangenheim method. Patients showed no pathological changes when examined electrocardiographically, CTK, pulse frequency, total lung capacity, acid-base balance in the blood well as the CO2 blood concentration remained also within normal range. Above result showed that CO2 as a gas used for pneumoperitoneum induction during laparoscopy is a secure agent. Full security of the gas use in conditioned by caution concerning the lung ventilation, patient monitoring, the gas flow equal to 1000 ml/min during the pneumoperitoneum induction and the final intraabdominal pressure 17-18 mm Hg.

Adolescent↗
PubMed1989

Plasma arginine vasopressin concentration during laparoscopy.

Plasma arginine vasopressin concentration (pAVP) was determined in 47 patients during the insufflation stage of laparoscopy. Laparoscopy was performed under local anesthesia in 39 patients, and under general anesthesia in 8. Pneumoperitoneum was induced with 3-4 1 nitrous oxide to a maximum intra-abdominal pressure of 10 mm Hg. Induction of pneumoperitoneum resulted in a prompt and significant increase in pAVP in every case. In 34% of cases, pAVP increased two- to fivefold as compared with preinduction levels; in 44.7% of cases, elevations of more than fivefold were seen. Increased arginine vasopressin secretion was not related to underlying liver disease, degree of anxiety, changes in blood pressure, heart rate, pCO2, pO2, serum bicarbonate or plasma osmolality. Elevated pAVP was associated with a significant increase in right atrial pressure. In conclusion, abdominal distension during laparoscopy was accompanied by an increase in pAVP. It seems likely that arginine vasopressin response could be due to a decrease in the left atrial transmural pressure gradient.

Adult↗
PubMedDate not supplied

[Evaluation of laparoscopy at the Instituto do Cancer Arnaldo Vieira de Carvalho. Results and complications].

After a short preface and demonstrations of the technique used to perform laparoscopies, the authors presented results of seven years (1980-1987) of the department of laparoscopy of the Gynecology Unit of the ICAVC in a total of 244 cases. From a review study of files, the authors concluded that laparoscopy is a very important propaedeutic method, specially in the oncology department, in the diagnosis of primary tumors and metastatic. They also concluded that the risk of complication is higher in patients with cancer.

Abdominal Neoplasms↗
PubMed1989

[Importance of laparoscopy. Results of 600 examinations performed in the Internal Medicine Department of the Hôpital Principal of Dakar].

At Dakar General Hospital between 1984 and 1989, 402 men and 198 women aged between 7 and 82 years were examined by laparoscopy. This simple, rapid examination, well tolerated after simple premedication, should only be undertaken after complete diffusion of the pneumoperitoneum because of a major perforation risk: 2 deaths unfortunately occurred during the above series. CPF's and cirrhosis account for more than half the cases (52%) and Laparoscopy is most useful in exploring the peritoneal pathology. Laparoscopy led to 68 cases of tuberculosis, 28 of peritoneum carcinomatosis, and 11 of infectious peri-hepatitis being diagnosed, and remains a major examination method perfectly adapted to the hepato-peritoneal pathology so common in Black Africa.

Abdominal Neoplasms↗
PubMedDate not supplied

[Ambulatory laparoscopy].

We present our experience with laparoscopy in 600 outpatients with several diseases in seven years (1982-1988). We performed 707 studies in 594 patients (99%), in six cases (1%) the examination was not feasible because of intra-abdominal adhesions. In 235 patients (39.16%) previous abdominal surgery was not considered a contraindication for the examination. We performed 295 hepatic biopsies, 69 adhesions cuts, 9 laparoscopic placement of Tenckhoff catheter and other procedures. The incidence of complications was 5.23%, related to laparoscopy 3.67% and to procedures 1.55%. Major complications occurred in four patients (0.56%), surgical intervention was required in one patient (0.14%). We neither had infectious complications, nor mortality. We conclude that laparoscopy can be an ambulatory procedure, because it has a low incidence of complications in skilled hands and is well tolerated.

Adolescent↗
PubMed1987

Use of laparoscopy for the localization of impalpable testes.

Laparoscopy is a simple, safe and sure diagnostic method in order to visualize an abdominal testis. When there is no abdominal testis at laparoscopy, the vas deferens and the testicular vessels have to be looked for very carefully. When both these structures pass through the internal inguinal ring, operation can be limited to the inguinal region. The results of laparoscopy are reported in nine patients with impalpable testis.

Adult↗
PubMed1988

The impact of laparoscopy on modern urologic practice.

The original concept of laparoscopy developed as a branch of cystoscopy. Since the use of the Nitze cystoscope at its inception, laparoscopy has kept pace with the innovations in our cystoscopic inventory. The recently emerging interest of urologists in utility of the laparoscope for a variety of urologic surgery is a welcome renascence of this procedure, which has been used mainly by our gynecologic colleagues, in part because of our own lack of pursuit in its development. Laparoscopy should now become an integral part of our urologic teaching and practice.

Abdominal Neoplasms↗
PubMed1988

The role of laparoscopy in management of nonpalpable testes.

Laparoscopy is the ideal first operative step in management of boys with nonpalpable testes. No other investigation is as reliable in locating a nonpalpable testis or in confirming its absence. Whatever the laparoscopic findings, further operative intervention is generally necessary and the laparoscopic findings determine the subsequent operative steps. Laparoscopy also permits endoscopic manipulation such as application of a spermatic vessel clip for staged Fowler-Stephens orchidopexy. Herein we report our experiences with laparoscopy in 30 patients with nonpalpable testes.

Adolescent↗
PubMed1986

"Conscious sedation" for laparoscopy.

End-tidal pCO2, mean arterial blood pressure, heart rate and respiratory rate changes during diagnostic gynecological laparoscopy were studied in 30 healthy women by the technique of "conscious sedation" combined with local anesthesia of the skin and peritoneum. No significant hypercarbia or hypoxia was noted. Patients were discharged from hospital within 6 to 8 h of the laparoscopy; all noted their full satisfaction with this method of anesthesia. "Conscious sedation" appears to be a safe and efficient method for short diagnosis laparoscopies in young, nonobese, otherwise healthy patients in whom full general anesthesia is refused or considered inadvisable.

Adult↗
PubMed1986

Diagnostic laparoscopy in the horse.

Laparoscopy was performed in 5 clinically normal horses. Abdominal fluid protein content and WBC count increased markedly in all horses. Necropsy findings were confined to an increased amount of slightly turbid abdominal fluid. Five examples of applications of laparoscopy in horses with abdominal problems indicated that laparoscopy can be a valuable diagnostic procedure in the horse.

Abdomen↗
PubMed1986

[Indications for laparoscopy in emergency abdominal surgery].

An analysis of 107 urgent laparoscopies enabled the authors to establish exact and full indications for using this method in hospital of general surgery. Proposals to improve the examination methods and to make them simpler are given. An original method of intraoperative laparoscopy is described. The authors give recommendations for using expedient laparoscopy in departments of urgent surgery as a sufficiently effective and accessible method of diagnosis and in certain cases as a method of treatment of emergent conditions.

Abdomen, Acute↗
PubMedDate not supplied

Results of a microbiological study of 99 patients undergoing laparoscopy due to sterility and/or pelvic pain.

The Authors report the results of a microbiological study of 99 patients who had undergone laparoscopy for infertility and/or pelvic pain. In 64% of the cases the microbiological study gave a positive result and in 45% of these 2 or more microorganisms were isolated; this high positive result was due to the presence of microorganisms with low pathogenicity on the cervical and urethral swabs. The microbiological study, B.S.R. and the leucocytes did not show any significant correlation with the pelvic pathologies found by means of laparoscopy. The only exception to this was Chlamydia T. which gave positive results, both in the direct and indirect test, in 22% of the patients, and which was found most often in the cases where laparoscopy had shown pelvic phlogisis.

Bacteria↗
PubMed1987

Economic considerations in the use of laparoscopy for diagnosing pelvic inflammatory disease.

The clinical diagnosis of pelvic inflammatory disease (PID) is associated with an average accuracy rate of 65% when preoperative impressions are confirmed or rejected with laparoscopy. The cost of this error rate should be evaluated when considering the cost and risks of immediate laparoscopy in patients suspected of having PID. This study reviewed selected patient admissions for PID from Northwestern Memorial Hospital for the years 1981-1985. The costs of hospitalization and treatment and the inherent diagnostic error rate were considered concurrently. No significant additional expense would have been incurred if all the women admitted with a clinical diagnosis of PID had had laparoscopic verification of their clinical diagnoses as compared to the cost of treatment with intravenous antibiotics for three to five days. We recommend the early use of laparoscopy in establishing the diagnosis of PID because it ensures a more accurate and definitive diagnosis and does not add significantly to costs.

Chicago↗