Does laparoscopy have a role in acute trauma care
Does laparoscopy have a role in acute trauma care? Yes, laparoscopic surgery can be done safely and potentially decrease laparotomy rates in both blunt and abdominal trauma patients.
Does laparoscopy have a role in acute trauma care? Yes, laparoscopic surgery can be done safely and potentially decrease laparotomy rates in both blunt and abdominal trauma patients.
How does laparoscopic gastric bypass compare to open gastric bypass? Roux-en-Y gastric bypass is the gold standard for bariatric surgery. Since 2004, laparoscopic gastric bypass has been more commonly used than open gastric bypass. Recent studies continue to document that laparoscopic gastric bypass is associated with shorter length of stay, lower morbidity and mortality, and …
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What is the role of laparoscopic surgery for curable colon cancer? The role of laparoscopic surgery for curable colon cancer is now firmly established. The COST Study Group trial demonstrated that laparoscopic colectomy for curable cancer is not inferior to open surgery based on 5-year prospective outcome data. Several prospective studies have further shown that …
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Can laparoscopic cholecystectomy or laparoscopic appendectomy be done safely in the pregnant patient? What are some technical considerations specific to operating laparoscopically on the pregnant patient? Yes, both laparoscopic cholecystectomy and laparoscopic appendectomy can be safely performed in the pregnant patient during any trimester. The second trimester is the ideal trimester to perform a laparoscopic …
Is gangrenous or perforated appendicitis a contraindication to laparoscopic appendectomy? No. Although conversion rates vary between 6% and 50%, reportedly related to surgical experience, laparoscopic appendectomy is associated with a decreased wound infection rate, quicker return of bowel function, and no difference in intraabdominal abscess rate.
Is there any clearly defined benefit to laparoscopic appendectomy? Laparoscopic appendectomy has been used with increased frequency compared with open appendectomy during the past decade. Multiple studies demonstrate a benefit in the pediatric, adult, older adult, and obese populations. Concerns remain about cost associated with laparoscopic appendectomy. One recent study demonstrated that the cost for …
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Which laparoscopic inguinal hernia repair is preferred: transabdominal preperitoneal (TAPP) hernia repair or totally extraperitoneal (TEP) patch plasty? There is no conclusive statistical evidence that one repair is superior to the other. TEP remains outside the abdominal cavity and can be converted to a TAPP easily. TAPP has a less stringent learning curve, however. Surgeon …
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