The efficacy of laparoscopic surgery in patients with peritonitis.

Background: Laparoscopy is an essential part of our armamentarium in certain conditions and has been recently begun to be used on acute abdominal peritonitis effectively and frequently by surgeons. But, there is still a debate on laparoscopic management of surgical emergencies. The aim of the current study is to evaluate the safety and efficiency of laparoscopy and its role in patients with acute abdominal emergencies retrospectively.

Routine use of laparoscopy in patients with clinically doubtful diagnosis of appendicitis.

Background: Therapeutic and diagnostic laparoscopy, a minimal invasive technique, has been used effectively and frequently for appendicitis by surgeons. There is still controversy about whether this technique should be applied to all patients or in the setting of a doubt of the diagnosis of appendicitis, especially for women. Based on these controversies, the aim of this study was to assess the safety and efficacy of diagnostic and therapeutic laparoscopy for patients with suspected peritonitis imitating acute appendicitis.

Laparoscopic repair of peptic ulcer perforation without omental patch versus conventional open repair.

Background: Laparoscopic surgery, a minimally invasive technique, has recently begun to be used on perforated peptic ulcers effectively and frequently. Nevertheless, most studies have shown that the disadvantages of the laparoscopic treatment of peptic ulcers are a long operation time, a high reoperation rate, and a need for an experienced surgeon. Thus, the objective of the current study was to compare the safety and efficacy of optimized laparoscopic surgery without an omental patch for a perforated peptic ulcer within a shorter operational time with conventional open surgery in a 4-year period.