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Eur J Trauma Emerg S · Feb 2012
Open to laparoscopic conversion in hemoperitoneum of unknown origin.
- S Paun, I Negoi, R Ganescu, and M Beuran.
- General Surgery Department, Carol Davila University of Medicine and Pharmacy, Emergency Hospital of Bucharest, Bucharest, Romania. drspaun@yahoo.com.
- Eur J Trauma Emerg S. 2012 Feb 1;38(1):79-81.
PurposeDemonstrating the potential, in spite of the current trend, of closing an open emergency surgical procedure and to convert it to a minimally invasive approach.MethodsCase report of an open converted to a laparoscopic approach in an emergency setting for hemoperitoneum of unknown origin.ResultsA 28-year-old-female patient was transported to the operating room for suspected acute appendicitis. Through McBurney's incision, hemoperitoneum was found. She was hemodynamically stable. The open incision was closed and a laparoscopic approach established. The diagnosis was a ruptured right ectopic pregnancy with mild hemoperitoneum. After a laparoscopic salpingectomy, her recovery was uneventful.ConclusionsFor selected cases, the conversion of an open procedure to a laparoscopic approach offers a real benefit for the patient, avoiding a large laparotomy and its associated morbidity.
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