The efficacy of laparoscopic surgery in the diagnosis and treatment of peritonitis

Abstract

Laparoscopic surgery is safe and very efficient in the diagnosis and treatment of patients with peritonitis. In most instances a definitive treatment can be carried out without conversion and has the additional and well-known advantages of minimally invasive surgery.

The management of leaking rectal anastomoses by minimally invasive techniques

“…Some authors have questioned whether the pneumoperitoneum might facilitate the progression of peritonitis by causing its dissemination in the abdominal cavity, thus increasing the risk of bacteremia and shock [18,19]. However, several clinical studies have demonstrated that there is no increase in infectious morbidity in patients who undergo a laparoscopic operation for peritonitis vs those who have compared with open surgery [3,5]. Moreover, clinical and experimental investigations have shown that laparoscopic surgery maintains its advantages in a septic environment [1,12].…”

Anastomotic Leakage after Laparoscopic Protectomy can be Managed by a Minimally Invasive Approach

“…Many studies, 10,20,22,23 including this study, suggest that there is no increase in morbidity and mortality after laparoscopic management of patients with peritonitis. Anastomotic leakage after laparoscopic proctectomy can be managed with minimally invasive surgery if it can be diagnosed earlier, thus the incidence of laparotomy for anastomotic leakage is reduced.…”

Effect of CO₂ Pneumoperitoneum on the Systemic and Peritoneal Cytokine Response in a LPS-Induced Sepsis Model

“…Laparoscopic surgery has been reported to be effective treatment for intra-abdominal inflammatory disease, including acute appendicitis [4][5][6], diverticular disease [7], and perforated peptic ulcer [8,9]. Furthermore, these techniques are applied in a variety of surgical conditions complicated by peritonitis resulting in intraperitoneal sepsis [7,10,11].…”