EFFICIENCY OF DIAGNOSTIC LAPAROSCOPY IN EMERGENCY ABDOMINAL SURGERY

Аннотация

In order to improve the diagnostic tactics of acute surgical pathology of the abdominal cavity with the help of laparoscopy, 60 medical histories of patients with abdominal pathology who were admitted in an emergency order were analyzed. Laparoscopic analysis showed a high resolution of 93.1-96.8%, depending on the nature of the disease. Clinical experience shows that among the surgical patients admitted to the hospital, 25% are patients with acute surgical diseases of the abdominal cavity. This group of diseases includes mainly six nosological units: acute appendicitis, acute pancreatitis, perforated gastroduodenal ulcer, acute intestinal obstruction, pinched hernias and abdominal injuries. It is in these types of acute surgical pathology that the proportion of diagnostic errors is high not only at the pre-hospital stage, but also in hospitals, which leads to delayed interventions, severe complications and mortality. Therefore, the development of new and improvement of existing diagnostic methods is an urgent problem of modern surgery.