Laparoscopic management of surgical complications after a recent laparotomy

D. Rosin*, O. Zmora, M. Khaikin, B. Bar Zakai, A. Ayalon, M. Shabtai

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review


Background: The use of laparoscopy in the scarred abdomen is now well established. However, recent laparotomy and the presence of a fresh abdominal wound usually preclude laparoscopic intervention. Thus, early postlaparotomy complications, which mandate surgical interventions, are usually treated by a second laparotomy. We report our experience with the use of laparoscopy for the treatment of postoperative complications, after open abdominal procedures. Methods: Fourteen patients were operated for a variety of conditions, and postoperative complications, such as bowel obstruction, intraabdominal infection, or anastomotic insufficiency, were handled laparoscopically. Results: Eleven patients recovered from the acute condition. One patient died from sepsis, one retroperitoneal abscess was missed and later drained percutaneously, and one conversion to open surgery was necessary because of adhesions and lack of working space. Conclusions: We conclude that a recent laparotomy is not a contraindication for laparoscopic management of acute abdominal conditions. Postlaparotomy complications can be successfully treated by laparoscopy. Avoiding the reopening of the abdominal wound and a second laparotomy may reduce the additional surgical trauma, and thus result in easier recovery.

Original languageEnglish
Pages (from-to)994-996
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number6
StatePublished - Jun 2004
Externally publishedYes


  • Complications
  • Laparoscopy
  • Laparotomy
  • Postoperative


Dive into the research topics of 'Laparoscopic management of surgical complications after a recent laparotomy'. Together they form a unique fingerprint.

Cite this