Document 0893
 DOCN  M95A0893
 TI    Role of laparoscopic surgery in the management of acute abdomen in the
       HIV-positive patients.
 DT    9510
 AU    Bouillot JL; Dehni N; Kazatchkine M; Fernandez F; Piketti C; Salah S;
       Alexandre JH; Department of General Surgery, University Paris VI,
       Hospital; Broussais, France.
 SO    J Laparoendosc Surg. 1995 Apr;5(2):101-4. Unique Identifier : AIDSLINE
       MED/95337432
 AB    Emergency open laparotomy in patients infected with HIV is accompanied
       by high mortality. The authors investigated the potential role of a
       laparoscopic approach for the management of acute abdomen in such
       patients. Prospectively, 10 patients with HIV disease (9 with AIDS)
       underwent laparoscopy for acute abdomen. The treatment was exclusively
       laparoscopic in 6 patients. A conversion to laparotomy was necessary in
       4 patients but through guided elective incision in 3 of them. The
       postoperative course was uneventful in all patients but 1, who died. We
       advocate a laparoscopic approach, when feasible, as an initial step in
       the management of acute abdomen in HIV-positive patients.
 DE    Abdomen, Acute/*ETIOLOGY/*SURGERY  Adult  Cholecystectomy, Laparoscopic
       Female  Human  HIV Infections/*COMPLICATIONS  Laparotomy  Male  Middle
       Age  Pregnancy  Pregnancy, Ectopic/COMPLICATIONS  Prospective Studies
       *Surgery, Laparoscopic  JOURNAL ARTICLE

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