TITLE

The Value of Laparoscopy in Management of Abdominal Trauma

AUTHOR(S)
Chelly, Marjorie R.; Major, Kevin; Spivak, Jacob; Hui, Thomas; Hiatt, Jonathan R.; Margulies, Daniel R.
PUB. DATE
November 2003
SOURCE
American Surgeon;Nov2003, Vol. 69 Issue 11, p957
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
The role of laparoscopy (LS) in abdominal trauma is controversial. Concerns remain regarding missed injuries and safety. Our objective for this study was to determine the safety and better define the role of LS in abdominal trauma victims. We performed a retrospective review of all patients who sustained abdominal trauma and underwent LS in a level I trauma center. The main outcome measures were age, gender, mechanism of injury (MOI), indication for laparoscopy, presence of intra-abdominal injury (IA), therapeutic laparoscopy (TxLS), need for laparotomy, length of hospital stay (LOS), missed injuries, complications, and deaths. Forty-eight patients underwent LS (62 per cent male; average age, 28 years; MOI, 35 (85%) penetrating, 7 (15%) blunt; mean ISS, 8). At laparoscopy, 58 per cent of patients had no intra-abdominal injury. IA injury was treated with laparotomy in 14 (29%) and TxLS in 6 (13%). One patient had a negative laparotomy (2%). No injuries were missed. No patients required reoperation. There was one complication: a pneumothorax. There were no deaths. LS was most valuable in penetrating trauma, avoiding laparotomy in more than two-thirds of patients with suspected intra-abdominal injury. LS can serve as a useful adjunct for the evaluation of blunt trauma. In a level I trauma center with LS readily available, the procedure is associated with a low rate of complications and missed injury.
ACCESSION #
11855895

 

Related Articles

  • The role of laparoscopy in abdominal trauma. Amin, P. B.; Magnotti, L. J.; Fabian, T. C.; Croce, M. A. // Trauma;04/01/2011, Vol. 13 Issue 2, p137 

    Since the advent of minimally invasive surgery, the use of laparoscopy for both diagnostic as well as therapeutic interventions has continued to expand in all of the surgical disciplines. In fact, this modality provides a viable alternative for the diagnosis of occult intra-abdominal injury...

  • Laparoscopic examination of the traumatized spleen with... Collin, Gary R.; Bianchi, Joseph D. // American Surgeon;Jun1997, Vol. 63 Issue 6, p478 

    Presents a case of blunt splenic trauma, in which laparoscopy was used to decrease the risks of both operative and nonoperative management by decreasing the risks of standard laparotomies for a spleen trauma and of banked-blood transfusion through the used of autotransfusion. Risks of blood...

  • The Usefulness of Serum Troponin Levels in Evaluating Cardiac Injury. Collins, Jay N.; Cole, Frederic J.; Weirete, Leonard J.; Riblet, Jeffrey L.; Britt, L.D. // American Surgeon;Sep2001, Vol. 67 Issue 9, p821 

    The diagnosis and clinical significance of blunt cardiac injury remains controversial. Cardiac troponin I is not found in skeletal muscle and has a high sensitivity for myocardial ischemia or injury. We hypothesized that normal troponin levels 4 to 6 hours postinjury would effectively exclude...

  • Comparison of pediatric and adult patients with thoracic trauma in emergency department. Karadaş, Sevdegül; Gönüllü, Hayriye; Çobanoğlu, Ufuk; Selvi, Fatih; Dursun, Recep; Güner, Savaş // Journal of Experimental & Clinical Medicine;2013, Vol. 30 Issue 4, p323 

    Anatomical and physiological characteristics of adults and children with are different from each other. Therefore management of similar thoracic injuries may be different between adults and children. Adult and pediatric patients admitted to the emergency department with thoracic trauma were...

  • Traumatic abdominal intercostal hernia without diaphragmatic injury. Ryan, Geoffrey; Cavallucci, David // Trauma;Oct2011, Vol. 13 Issue 4, p364 

    A hernia through an intercostal space involving the bowel is rare but can result in strangulation of the bowel if not diagnosed promptly. We report a case of bowel herniation through the left 9th intercostal space after blunt trauma in a motor vehicle collision. A mass was present overlying the...

  • The patterns of abdominal trauma and factors associated with ICU admission in a major trauma center in Medina. Alqarafi, Amal Muflih; Alhazmi, Asma Mesad; Alawfi, Areej Mustafa; Alruhaili, Emtinan Mohammed Salem; Alebrahaimi, Ftoon Abdualrahman; Sebeih, Sami Hussain // Australasian Medical Journal;2019, Vol. 12 Issue 3, p71 

    Background: Trauma is a significant health problem in Saudi Arabia. In polytrauma victims, the abdomen is the second most affected body region following the head. In the Middle East, abdominal trauma prevalence ranges from 15 per cent to 82 per cent. Aims: This study aims to assess the patterns...

  • Blunt trauma resulting in pneumothorax with progression to pneumoperitoneum: a unique diagnosis with predicament in management. Curfman, Karleigh R.; Robitsek, R. Jonathan; Sammett, David; Schubl, Sebastian D. // Journal of Surgical Case Reports;Dec2015, Vol. 2015 Issue 12, p1 

    Here, we present a case of pneumoperitoneum caused by traumatic pneumothorax after a fall. The patient is an 82-year-old male who was brought into the emergency department after being found at the bottom of a flight of stairs with a bleeding scalp laceration. Upon presentation, the patient...

  • Laparoscopic treatment of traumatic bladder rupture. Mikulska-Jovanović, Magdalena; Kraćnicki, Krzysztof; Wolski, Zbigniew; Dabrowiecki, Stanislaw; Gnilka, Wlodzimierz // Central European Journal of Urology;Jun2009, Vol. 62 Issue 2, p104 

    The most common cause of urinary bladder rupture is blunt trauma to the lower abdomen. Intraperitoneal bladder rupture always requires surgical exploration. According to the recommendations of the European Association of Urology it is necessary to issue dual-layer walls of the bladder with...

  • Overview of Traumatic Fractures. Wood, Erin; Ng, Zenithson Y.; Tobias, Karen M. // Veterinary Team Brief;Aug2014, p28 

    The article focuses on the treatment methods for bone fractures in case of pets. Topics discussed include animal care from the veterinary team, affected area of common fractures in trauma cases, injuries and treatment of blunt trauma patients, stabilization of the fractured bone for fracture...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics