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Titolo:
Accuracy of the preoperative diagnosis in 100 emergency laparoscopies performed due to acute abdomen in nonpregnant women
Autore:
Cohen, SB; Weisz, B; Seidman, DS; Mashiach, S; Lidor, AL; Goldenberg, M;
Indirizzi:
Tel Aviv Univ, Chaim Sheba Med Ctr, Dept Obstet & Gynecol, Tel Hashomer, Israel Tel Aviv Univ Tel Hashomer Israel bstet & Gynecol, Tel Hashomer, Israel Tel Aviv Univ, Sackler Fac Med, IL-52621 Tel Hashomer, Israel Tel Aviv Univ Tel Hashomer Israel IL-52621 IL-52621 Tel Hashomer, Israel
Titolo Testata:
JOURNAL OF THE AMERICAN ASSOCIATION OF GYNECOLOGIC LAPAROSCOPISTS
fascicolo: 1, volume: 8, anno: 2001,
pagine: 92 - 94
SICI:
1074-3804(200102)8:1<92:AOTPDI>2.0.ZU;2-X
Fonte:
ISI
Lingua:
ENG
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
7
Recensione:
Indirizzi per estratti:
Indirizzo: Cohen, SB Chaim Sheba Med Ctr, Dept Obstet & Gynecol, IL-52621 Ramat Gan, Israel Chaim Sheba Med Ctr Ramat Gan Israel IL-52621 amat Gan, Israel
Citazione:
S.B. Cohen et al., "Accuracy of the preoperative diagnosis in 100 emergency laparoscopies performed due to acute abdomen in nonpregnant women", J AM AS G L, 8(1), 2001, pp. 92-94

Abstract

Study Objective. To assess the validity of preoperative diagnosis in the emergency room in relation to the surgical diagnosis at laparoscopy. Design. Retrospective study (Canadian Task Force classification II-2). Setting. University-affiliate hospital. Patients. One hundred consecutive nonpregnant women who underwent emergency laparoscopy for acute abdomen between 1997 and 1999. Intervention. Emergency diagnostic laparoscopy. Measurements and Main Results. The preoperative diagnosis was confirmed bylaparoscopy in 29 (44%) of 66 cases of ovarian torsion, 9 (82%) of 11 cases of ovarian cyst, and 12 (80%) of 15 cases of bleeding corpus luteum. Unsuspected diagnoses among nonconfirmed cases were ovarian cysts (24), adhesions (5) bleeding corpus luteum (3), degenerative myomas (3), pelvic inflammatory disease (2), and appendicitis (1). The preoperative diagnosis was confirmed by emergency laparoscopy in 56% of all patients. Diagnoses most likely to be predicted accurately were ovarian cysts and bleeding corpora lutea. Ovarian torsion was most difficult to diagnose preoperatively, as it was not confirmed during laparoscopy in over half patients. Ovarian cysts and adhesions were the most common unsuspected findings. Conclusion. Patients and surgeons alike should be aware of difficulty making accurate preoperative diagnoses of acute gynecologic pathologies in the emergency room.

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Documento generato il 07/07/20 alle ore 12:30:31