[Laparoscopic procedures at diagnosis and treatment of early postoperative intraabdominal complications in urgent surgery].

Results of diagnosis and treatment of 318 patients with early postoperative intraabdominal complications (EPIAC) after urgent abdominal operations are analyzed. All the patients were divided into two groups depending on method of repeated operation. First group consisted of 212 patients who have undergone traditional relaparotomy, at 106 patients of second group the treatment was started with diagnostic laparoscopy. At 21 (6.5%) patients of 1st group the relaparotomy was diagnostic. At 58 (55%) patients of 2nd group the laparoscopic procedures was the final method of treatment, at 13 (12%) cases the EPIAC were excluded, conversion to open surgery was performed at 35 (33%) cases. Laparoscopy permitted to reduce lethality in 2.5 times and hospital stay in 2 times.