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dc.contributor.authorQuah, Gaik Si
dc.date.accessioned2019-05-21
dc.date.available2019-05-21
dc.date.issued2018-12-19
dc.identifier.urihttp://hdl.handle.net/2123/20437
dc.description.abstractLaparoscopic surgery has become a routine part in general surgery. In the emergency setting, laparoscopic surgery in appendectomy and cholecystectomy is gold standard in this modern era. However, the benefits and role of laparoscopic surgery in other areas of acute abdominal surgery remains unclear. The aim of this thesis is to investigate the role of laparoscopic surgery for emergency surgery and compare the benefits and risks of laparoscopic surgery with the current gold standard of surgical techniques with a focus on three specific areas of surgery - peptic ulcer perforation, complicated appendectomy and adhesiolysis in small bowel obstruction. Systemic reviews for each topic were done according to the Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Electronic databases (Medline, PubMed, Cochrane Database, World Wide Web Internet and Embase) and references in the relevant articles were checked for appropriate studies.«/p» «p» «/p» «p»Meta-analyses of all three areas with a combination of 45,986 patient showed significant advantage in laparoscopic group compared with open technique. There was reduced post-operative morbidity and mortality, shorter length of hospital stays and reduced usage of post-operative analgesia in the laparoscopic group. Furthermore, there were no differences in length of operating time, post-operative intra-abdominal abscess and septicaemia. In conclusion, this thesis has proven that laparoscopic surgery is safe and superior to open technique in treatment of perforated peptic ulcer, complicated appendicitis and adhesional small bowel in selected groups of patients.en_AU
dc.publisherUniversity of Sydneyen_AU
dc.publisherFaculty of Medicine and Healthen_AU
dc.publisherNepeanen_AU
dc.rightsThe author retains copyright of this thesis. It may only be used for the purposes of research and study. It must not be used for any other purposes and may not be transmitted or shared with others without prior permission.en_AU
dc.subjectLaparoscopyen_AU
dc.subjectAcute Abdominal Surgeryen_AU
dc.subjectperforated peptic ulceren_AU
dc.subjectadhesional small bowel obstructionen_AU
dc.subjectcomplicated appendicitisen_AU
dc.titleLaparoscopy Surgery for Acute Abdominal Surgeryen_AU
dc.typeMasters Thesisen_AU
dc.type.pubtypeMaster of Surgery M.S.en_AU
dc.description.disclaimerAccess is restricted to staff and students of the University of Sydney . UniKey credentials are required. Non university access may be obtained by visiting the University of Sydney Library.en_AU


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