Diagnostic Laparoscopy as an Adjunct to Selective Conservative Management of Solid Organ Injuries After Blunt Abdominal Trauma

Townsend, Michael C.; Flancbaum, Louis; Choban, Patricia S.; Cloutier, Charles T.

doi:10.1097/00005373-199310000-00023

Cited by 49 publications

(22 citation statements)

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“…v. Incidence and pattern of organ injury (Table 4): Liver injury is most commonly seen injury in BTA in this present series followed by spleen. In Nance and Cohn's series and in Town send and colleagues series 22 spleen is commonly involved. Pattern of organ injury and no.…”

Section: Observation and Discussionmentioning

confidence: 96%

Diagnostic and Therapeutic Laparoscopy in Various Blunt Abdomen Trauma

Gohil¹,

Palekar²,

Ghoghari³

2009

WJOLS

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Section: Observation and Discussionmentioning

confidence: 96%

Diagnostic and Therapeutic Laparoscopy in Various Blunt Abdomen Trauma

Gohil¹,

Palekar²,

Ghoghari³

2009

WJOLS

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“…Similarly, Koehler et al 11 suggest laparoscopic evaluation of splenic injuries as an alternative to CT scan. Townsend et al 12 and Smith et al 13 have used this idea of diagnostic laparoscopy in trauma patients to successfully determine which patients were safe to manage nonoperatively and which patients needed to undergo laparotomy. With our case, as the stab wound penetrated the spleen through and through, we felt there was a need to visualize the surrounding …”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Repair of Penetrating Splenic Injury

Davoodi

Budde

Minshall

2009

Journal of Laparoendoscopic & Advanced Surgical Techniques

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Historically, all splenic injuries were treated with splenectomy. In recent decades, however, there has been a trend toward splenic conservation methods in an attempt to preserve immunologic functions. Although cases of splenic conservation in the setting of penetrating injuries exist in the literature, this method of management is more commonly attempted in blunt traumas. When presented with penetrating splenic trauma, surgeons generally still proceed directly to exploratory laparotomy with splenectomy. Splenic injuries are rarely repaired with splenorrhaphy due to surgeon inexperience and concern for reoperation. We conclude from this case that when presented with a penetrating splenic trauma in a hemodynamically stable patient, management by laparoscopic exploration with splenorrhaphy can be safe and effective.

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“…However, laparoscopy is most often used for diagnostic purposes in these patients. [3][4][5][6][7] In many instances, laparoscopy is too limited, in terms of manipulation, to perform definitive treatment for abdominal trauma. In our patient, laparoscopic drainage of the duodenal hematoma was easy and safe.…”

Section: Discussionmentioning

confidence: 99%

“…1,2 Recently, the use of laparoscopic surgery for abdominal trauma has increased. [3][4][5][6][7] In this report, we describe a patient who had a large duodenal hematoma, resulting (Fig. 2a,b).…”

Section: Introductionmentioning

confidence: 86%

Laparoscopic drainage of an intramural duodenal hematoma

Maemura

Yamaguchi

Yukioka

et al. 1999

Journal of Gastroenterology

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A 21-year-old man was admitted with vomiting and abdominal pain 3 days after sustaining blunt abdominal trauma by being tackled in a game of American football. A diagnosis of intramural hematoma of the duodenum was made using computed tomography and upper gastrointestinal tract contrast radiography. The hematoma caused obstructive jaundice by compressing the common bile duct. The contents of the hematoma were laparoscopically drained. A small perforation was then found in the duodenal wall. The patient underwent laparotomy and repair of the injury. Laparoscopic surgery can be used as definitive therapy in this type of abdominal trauma.

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Diagnostic Laparoscopy as an Adjunct to Selective Conservative Management of Solid Organ Injuries After Blunt Abdominal Trauma

Cited by 49 publications

References 0 publications

Diagnostic and Therapeutic Laparoscopy in Various Blunt Abdomen Trauma

Diagnostic and Therapeutic Laparoscopy in Various Blunt Abdomen Trauma

Laparoscopic Repair of Penetrating Splenic Injury

Laparoscopic drainage of an intramural duodenal hematoma

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