2ND-LOOK LAPAROSCOPY FOR VISCERAL ISCHEMIA FACILITATED BY PREINSTALLED PORTS

Much of the information of a second-look laparotomy can be obtained by a second-look laparoscopy. We describe the strategy and technique oi installing laparoscopy ports at the end of the primary laparotomy for visceral ischemia to facilitate a second-look laparoscopy in the ensui ng 72 hours. The advantages and limitations are illustrated by three c ases, The primary advantage appears to be that when second-look laparo scopy can be accomplished at a minimal cost, much of the inhibition to use it is removed, However, more experience is necessary before the p rocedure can be used to replace laparotomy.