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Without the benefit of diagnostic aids such as computers and high-resolution ultra-sonography, the rate of unnecessary laparotomy is often unacceptably high. The laparoscope is usually available in a developing country and its use easily acquired. Using laparoscopy in doubtful situations the unnecessary laparotomy rate was significantly reduced from 14.0 to 6 per cent (P &amp;lt; 0.05). Laparoscopy achieved a diagnostic accuracy of 86 per cent and prevented unnecessary laparotomy in 57 per cent of those in whom it was used.<\/jats:p>","DOI":"10.1002\/bjs.1800790937","type":"journal-article","created":{"date-parts":[[2007,3,3]],"date-time":"2007-03-03T17:21:46Z","timestamp":1172942506000},"page":"964-966","source":"Crossref","is-referenced-by-count":11,"title":["Laparoscopy in developing countries in the management of patients with an acute abdomen"],"prefix":"10.1093","volume":"79","author":[{"given":"B C","family":"Ogbonna","sequence":"first","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital , Jos,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"P O","family":"Obekpa","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital , Jos,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J T","family":"Momoh","sequence":"additional","affiliation":[{"name":"Department of Surgery, Jos University Teaching Hospital , Jos,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J O","family":"Obafunwa","sequence":"additional","affiliation":[{"name":"Department of Pathology, Jos University Teaching Hospital , Jos,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"E J C","family":"Nwana","sequence":"additional","affiliation":[{"name":"Department of Pathology, Jos University Teaching Hospital , Jos,","place":["Nigeria"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1992,9,1]]},"reference":[{"key":"2024092812093937400_bib1","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1002\/bjs.1800770105","article-title":"Modern aids to clinical decision-making in the acute abdomen","volume":"77","author":"Paterson-Brown","year":"1990","journal-title":"Br J Surg"},{"key":"2024092812093937400_bib2","doi-asserted-by":"crossref","first-page":"365","DOI":"10.1002\/bjs.1800770404","article-title":"Practicalities in the management of the acute abdomen","volume":"77","author":"Jones","year":"1990","journal-title":"Br J Surg"},{"key":"2024092812093937400_bib3","first-page":"31","article-title":"Peritonitis: a preliminary report on 1877 cases","volume":"12","author":"Archampong","year":"1973","journal-title":"Ghana Med J"},{"key":"2024092812093937400_bib4","first-page":"74","article-title":"Ectopic pregnancy - the African experience","volume":"8","author":"Olatunbosun","year":"1987","journal-title":"Post-graduate Doctor - Africa"}],"container-title":["Journal of British Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fbjs.1800790937","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/9\/964\/59399627\/bjs1800790937.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/bjs\/article-pdf\/79\/9\/964\/59399627\/bjs1800790937.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,9,28]],"date-time":"2024-09-28T12:09:46Z","timestamp":1727525386000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/bjs\/article\/79\/9\/964\/6173486"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1992,9,1]]},"references-count":4,"journal-issue":{"issue":"9","published-online":{"date-parts":[[1992,9,1]]},"published-print":{"date-parts":[[1992,9,1]]}},"URL":"https:\/\/doi.org\/10.1002\/bjs.1800790937","relation":{},"ISSN":["0007-1323","1365-2168"],"issn-type":[{"value":"0007-1323","type":"print"},{"value":"1365-2168","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1992,9]]},"published":{"date-parts":[[1992,9,1]]}}}