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CASE REPORT
Year : 2010  |  Volume : 2  |  Issue : 3  |  Page : 129-132

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


Department of General Surgery, Ayr Hospital, Dalmellington Road, Ayr, UK

Correspondence Address:
Abdulmajid Ali
Department of General Surgery, Ayr Hospital, Dalmellington Road, Ayr
UK
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/1947-489X.210983

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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.


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