Laparoscopic management of early postoperative complications following laparoscopic procedure for common digestive disease.

The aim of this study is to evaluate the place of lapararoscopy in themanagement of early postoperative surgical complications after afirst laparoscopy for common digestive diseases. A laparoscopicprocedure was performed in 27 (1.72 %) patients (20 males, 7 females,mean age: 52.26 years) of 1567 patients operated by laparoscopyduring the 3 preceding years. The mean delay was 5.63 daysafter the first intervention and inferior to 24 hours for 90 % of thepatients who had returned home. There was no complementaryparaclinical examination for 10 patients and reduced examinationfor the 17 other patients. The rate of conversion was 7.4 %, morbidity29.6 % and mortality 3.7 %. There was no specific complicationof laparoscopy and no early or late parietal complication (abcess,evisceration or incisional hernia). Laparoscopic treatment must beproposed early when the postoperative follow-up is not simple aftera first operation by laparoscopy. It allows a reduction of preoperativeparaclinical examinations and an early and efficient treatmentof postoperative surgical complications.