Emergency Laparoscopic Surgery

Acute abdominal emergencies are diagnosed incorrectly or too late in 5 to 20% of cases. The delay in appropriate treatment, improper surgical access route and repeat surgery causes higher morbidity and mortality.

Emergency laparoscopy (keyhole) allows for both the accurate diagnosis and immediate laparoscopic treatment of many acute abdominal disorders. This is a laparoscopic image of the appendix in a 14 year old girl who had multiple hospital admissions during the preceding 8 months and despite repeated investigations no diagnosis was reached. The emergency laparoscopy revealed a tense, fibrotic appendix the legacy of repeated attacks of appendicitis. The scar-less laparoscopy diagnosed and treated the condition and the patient was discharged home the same day.

Laparoscopic (keyhole) appendicectomy is firmly established as the best intervention in acute appendicitis. These are the operative laparoscopic images of an morbidly obese 60 year old man who had an emergency admission that followed by multiple outpatient reviews for a right sided abdominal pain. All investigations inclusive of ultrasound scan and repeated CT scans did not have any firm conclusions. The emergency scar-less laparoscopy diagnosed and treated the appendicitis saving the patient a long laparotomy (a cut in the tummy) incision with the associated short and long term consequences.