Technical note: Minimally invasive ‘second look’ in the era of laparoscopic surgery

Benefits associated with minimally invasive surgery, in both elective and emergency practice, are well established. In recent years, laparoscopic surgery has been embraced, and has gained increasing popularity. We describe a modification of a previously described technique in the context of the ‘second look’ in the era of laparoscopic surgery. A seventy year old patient with type one respiratory failure presented with an acute abdomen. Pre-operative imaging suggested mesenteric ischaemia. A decision was made to proceed with laparoscopic surgical intervention. An infarcted small bowel segment was identified and resected. A primary anastomosis was constructed, but in view of the underlying pathological process, it was felt that a ‘second look’ was required. This was facilitated by leaving an 11mm port in left lower quadrant after the primary procedure, so that twenty four hours post-operatively the anastomosis could be inspected. The concept of the ‘second look’ is well established in the context of mesenteric ischaemia. A laparoscopic ‘second look’ following open surgery has been previously described. We have embraced the ‘second look’ concept and we were able to perform both procedures in a minimally invasive fashion.

Standort
Deutsche Nationalbibliothek Frankfurt am Main
Umfang
Online-Ressource
Sprache
Englisch

Erschienen in
Technical note: Minimally invasive ‘second look’ in the era of laparoscopic surgery ; volume:02 ; number:03 ; year:2010 ; pages:129-132
Ibnosina journal of medicine and biomedical sciences ; 02, Heft 03 (2010), 129-132

Beteiligte Personen und Organisationen
Hussey, Keith
Chircop, Kieran
Ali, Abdulmajid

DOI
10.4103/1947-489X.210983
URN
urn:nbn:de:101:1-2022071813304604741615
Rechteinformation
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Letzte Aktualisierung
15.08.2025, 07:35 MESZ

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Beteiligte

  • Hussey, Keith
  • Chircop, Kieran
  • Ali, Abdulmajid

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