{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T03:14:20Z","timestamp":1777864460365,"version":"3.51.4"},"reference-count":9,"publisher":"SAGE Publications","issue":"12","license":[{"start":{"date-parts":[[1993,12,1]],"date-time":"1993-12-01T00:00:00Z","timestamp":754704000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J R Soc Med"],"published-print":{"date-parts":[[1993,12]]},"abstract":"<jats:p>The role of laparoscopy in the management of patients presenting to one surgical firm with an acute abdomen is discussed. Sixty-seven laparoscopies have been performed over an 18 month period and it has altered the diagnosis in 19.4% of cases and the management in 13.4% of cases.<\/jats:p>\n                  <jats:p>At laparoscopy the diagnosis of appendicitis was made in 37 patients (81% had attempted laparoscopic appendicectomies); pelvic inflammatory disease in 15 patients; torted fimbrial cyst in two patients; and free pus in the right lower peritoneum as a result of a perforated appendix was seen in two patients. Normal laparoscopy was performed in five patients and four patients who presented with a perforated duodenal ulcer had the diagnosis confirmed at laparoscopy, in three cases the perforation was oversewn laparoscopically. Two laparoscopies were performed on trauma patients; one stabbing and one blunt trauma to the right hypochondrium.<\/jats:p>\n                  <jats:p>It has been demonstrated that diagnostic laparoscopy is a useful adjunct to the general surgeon's armamentarium. It is suggested that the skill of laparoscopy is passed on to junior trainee surgeons who can use this technique to help attain a diagnosis in patients presenting with an acute abdomen.<\/jats:p>","DOI":"10.1177\/014107689308601209","type":"journal-article","created":{"date-parts":[[2022,8,18]],"date-time":"2022-08-18T11:52:42Z","timestamp":1660823562000},"page":"699-701","source":"Crossref","is-referenced-by-count":8,"title":["The Influence of Diagnostic and Therapeutic Laparoscopy on Patients Presenting with an Acute Abdomen"],"prefix":"10.1177","volume":"86","author":[{"given":"H J","family":"Scott","sequence":"first","affiliation":[{"name":"St Mary's and St Charles Hospitals, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R D","family":"Rosin","sequence":"additional","affiliation":[{"name":"St Mary's and St Charles Hospitals, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[1993,12,1]]},"reference":[{"key":"bibr1-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.293.6550.800"},{"key":"bibr2-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770130"},{"key":"bibr3-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800731230"},{"key":"bibr4-014107689308601209","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1002\/bjs.1800760803","volume":"76","author":"Hoffmann J","year":"1989","journal-title":"Br J Surg"},{"key":"bibr5-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198004000-00004"},{"key":"bibr6-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800770404"},{"key":"bibr7-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(91)90590-A"},{"key":"bibr8-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-197504000-00022"},{"key":"bibr9-014107689308601209","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(89)90642-9"}],"container-title":["Journal of the Royal Society of Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689308601209","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/014107689308601209","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T05:42:17Z","timestamp":1777527737000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/014107689308601209"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1993,12]]},"references-count":9,"journal-issue":{"issue":"12","published-print":{"date-parts":[[1993,12]]}},"alternative-id":["10.1177\/014107689308601209"],"URL":"https:\/\/doi.org\/10.1177\/014107689308601209","relation":{},"ISSN":["0141-0768","1758-1095"],"issn-type":[{"value":"0141-0768","type":"print"},{"value":"1758-1095","type":"electronic"}],"subject":[],"published":{"date-parts":[[1993,12]]}}}