scholarly journals Role of exploratory laparoscopy in haemodynamically stable patient with a penetrating abdominal trauma

2015 ◽  
Vol 2015 (7) ◽  
pp. rjv066
Author(s):  
Emira Nur Shafina Muhammad-Sharizan ◽  
Valerio V. DiNicola
Keyword(s):  
Abdominal Trauma ◽  
Stable Patient ◽  
Penetrating Abdominal Trauma ◽  
Exploratory Laparoscopy

scholarly journals Laparoscopy and Penetrating Abdominal Trauma: A Systematic Review

2019 ◽  
Vol 4 (7) ◽  
pp. 217-231
Author(s):  
Bráulio Filgueira Magalhães ◽  
Pedro De Sousa Leite ◽  
Pedro Hugo Bezerra Maia Filho ◽  
George Wallisson Severo de Sá ◽  
Whallyson Pinheiro Mascarenhas ◽  
...  
Keyword(s):  
Systematic Review ◽  
Abdominal Trauma ◽  
Retrieval System ◽  
Penetrating Trauma ◽  
Laparoscopic Approach ◽  
Final Analysis ◽  
Penetrating Abdominal Trauma ◽  
Penetrating Wound ◽  
Definition Of

This article aims to evaluate the effectiveness and use of laparoscopy in penetrating abdominal trauma, thus providing a better definition of the role of laparoscopic approach in patients with PAD.  A systematic review was performed by searching indexed articles in the Virtual Health Library and the Medical Literature Analysis and Retrieval System Online database (MEDLINE / PubMed), in which analysis after final analysis included 07 articles.  In this study we identified seven articles that evaluated the use and contributions of the laparoscopic approach in patients with TAP, in which it was identified that the use as a diagnostic approach is widely used due to its benefits and safety.  Regarding its therapeutic approach it was determined that in the largest of the studies there is indication, usefulness, reliability and accuracy of its use, however, for better results is essential experience of the surgical team in laparoscopic technique.Keywords: Abdominal trauma;  Laparoscopy and Penetrating Trauma;  Abdominal injury;  Laparoscopy;  Penetrating wound.

scholarly journals Role of Diagnostic Laparoscopy in Penetrating Abdominal Trauma

2021 ◽  
Vol 15 (10) ◽  
pp. 3514-3516
Author(s):  
Fatima Abbasi ◽  
Muhammad Khurram Zia ◽  
Farhan Siddique ◽  
Ali Adnan ◽  
Hina Tahseen
Keyword(s):  
Abdominal Trauma ◽  
Diagnostic Laparoscopy ◽  
Bowel Perforation ◽  
Penetrating Trauma ◽  
Trauma Patients ◽  
Penetrating Abdominal Trauma ◽  
Missed Injury ◽  
Operative Findings ◽  
Intraabdominal Injury

Background and Objective: Trauma remains the major cause of mortality and disability among young people across the world with penetrating trauma being a very common cause. Traditionally, penetrating abdominal trauma was managed with exploration. But now with the advent of minimally access surgery and advancements in laparoscopic expertise, more patients can be managed with minimally invasive methods. This approach can save many unnecessary laparotomies and large midline incisions. The role of laparoscopy in blunt abdominal trauma is well established. The aim of this study was to evaluate the role of diagnostic laparoscopy in penetrating abdominal injuries. Methods: All the penetrating abdominal trauma patients presenting to the emergency department of Rawal Medical and Dental hospital from January 2019 till December 2020 for a period of 2years (a total of 102 patients) and who were hemodynamically stable, between the ages of 20 to 50 years of either gender were included in the study. All these patients had equivocal abdominal findings with no signs to suggest serious intraabdominal injury. These patients were prepared as standard for general anesthesia and diagnostic laparoscopy was performed. A predesigned performa was used for entering the patients’ details and operative findings. All patients gave written informed consent in urdu. Main outcome measures were the conversion rate, missed injuries leading to reexploration. Results: 85%of the patients were males with only 15% females. Mean age of the population was 38.7 years .Conversion to open was required in only 6.12 % of the cases .Laparoscopy alone was sufficient for all other patients. In about 36% of the patients no intraabdominal injury was found. In rest 58% patients the surgeons were able to repair the injuries laparoscopically.18 patients had minor liver injury,10 patients had minor hemoperitoneum<100 ml without any significant injury and 2 patients had single small bowel perforation which was repaired laparoscopically and cavity was irrigated. No patient had post operative complications of peritonitis due to missed injury or bleeding leading to re exploration. Conclusion: Laparoscopy is a very effective procedure to deal with penetrating abdominal trauma patients who are stable and with equivocal abdominal findings without increasing risk of missed injury with minimal rates of conversion to open laparotomy if patients are selected vigilantly. Keywords: Penetrating, Diagnostic Laparoscopy, Abdominal Trauma

Role of Laparoscopy in Penetrating Abdominal Trauma: A Systematic Review

2012 ◽  
Vol 37 (1) ◽  
pp. 113-122 ◽  
Author(s):  
Eimer O’Malley ◽  
Emily Boyle ◽  
Adrian O’Callaghan ◽  
J. Calvin Coffey ◽  
Stewart R. Walsh
Keyword(s):  
Systematic Review ◽  
Abdominal Trauma ◽  
Penetrating Abdominal Trauma

The Role of Intra-aortic Balloon Occlusion in Penetrating Abdominal Trauma

1989 ◽  
Vol 29 (6) ◽  
pp. 861-865 ◽  
Author(s):  
BHUPENDRA K. GUPTA ◽  
SATISH C. KHANEJA ◽  
LUCIO FLORES ◽  
LEWIS EASTLICK ◽  
WAYNE LONGMORE ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Balloon Occlusion ◽  
Penetrating Abdominal Trauma ◽  
Aortic Balloon Occlusion

The role of laparoscopy in management of stable patients with penetrating abdominal trauma and organ evisceration

2016 ◽  
Vol 81 (2) ◽  
pp. 307-311 ◽  
Author(s):  
Oleh Y. Matsevych ◽  
Modise Z. Koto ◽  
Sooraj R. Motilall ◽  
Neha Kumar
Keyword(s):  
Abdominal Trauma ◽  
Penetrating Abdominal Trauma

scholarly journals The role of computerized tomography in penetrating abdominal trauma

2018 ◽  
Vol 45 (1) ◽  
Author(s):  
EDUARDO LOPES MARTINS FILHO ◽  
MELISSA MELLO MAZEPA ◽  
CAMILA ROGINSKI GUETTER ◽  
SILVÂNIA KLUG PIMENTEL
Keyword(s):  
Computed Tomography ◽  
Negative Predictive Value ◽  
Abdominal Trauma ◽  
Predictive Value ◽  
Penetrating Trauma ◽  
Nonoperative Treatment ◽  
Historical Cohort ◽  
Penetrating Abdominal Trauma ◽  
Late Postoperative Period

ABSTRACT Objective: to evaluate the role of abdominal computed tomography in the management of penetrating abdominal trauma. Methods: we conducted a historical cohort study of patients treated for penetrating trauma in the anterior abdomen, dorsum or thoracoabdominal transition, that were submitted to a computed tomography carried out on admission. We evaluated the location of the wound and the presence of tomographic findings, and the management of these patients as for nonoperative treatment or laparotomy. We calculated the sensitivity and specificity of computed tomography according to the evolution of the nonoperative treatment or the surgical findings. Results: we selected 61 patients, 31 with trauma to the anterior abdomen and 30 to the dorsum or thoracoabdominal transition. The mortality rate was 6.5% (n=4), all in the late postoperative period. Eleven patients with trauma to the anterior abdomen were submitted to nonoperative treatment, and 20, to laparotomy. Of the 30 patients with trauma to the dorsum or thoracoabdominal transition, 23 underwent nonoperative treatment and seven, laparotomy. There were three nonoperative treatment failures. In penetrating trauma of the anterior abdomen, the sensitivity of computed tomography was 94.1% and the negative predictive value was 93.3%. In dorsal or thoracoabdominal transition lesions, the sensitivity was 90% and the negative predictive value was 95.5%. In both groups, the specificity and the positive predictive value were 100%. Conclusion: the accuracy of computed tomography was adequate to guide the management of stable patients who could be treated conservatively, avoiding mandatory surgery in 34 patients and reducing the morbidity and mortality of non-therapeutic laparotomies.

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