Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wounds: A Prospective cohort study

Yücel, Metin; Özpek, Adnan; Tolan, Hüseyin Kerem; Başak, Fatih; Baş, Gürhan; Unal, Ethem; Ali̇moğlu, Orhan

doi:10.5505/tjtes.2016.91043

Cited by 9 publications

(14 citation statements)

References 30 publications

(51 reference statements)

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“…Мы солидарны с мнением исследовате лей, которые считают, что при продолжаю щемся кровотечении, ранении в области сердца, повреждении полых органов брюш ной полости и спаечном процессе в брюш ной полости, вызванном предшествующими операциями, следует использовать только классические доступы [8,13].…”

Section: результаты и их обсуждениеunclassified

“…Одними из самых трудных для лечения видов травм являются торакоабдоминальные ранения (ТАР) [8,9,10,12,13]. Установить диагноз ТАР бывает непросто из за тяжести состояния больных и особенностей клиники этого вида повреждений [9,12].…”

Section: Introductionunclassified

“…В современ ной торакальной хирургии все чаще приме няются различные виды внутриполостных и внутрипросветных эндоскопических опе раций [2,7]. В лечение ТАР исследователи также активно внедряют эндоскопические технологии и используют торакоскопию и лапароскопию, что снижает операционную травму [1,10,13]. Однако во многих клини ческих ситуациях следует пренебречь уров нем операционной травмы и для спасения жизни больного выполнять классические «открытые» операции [9,[11][12][13].…”

Section: Introductionunclassified

“…В лечение ТАР исследователи также активно внедряют эндоскопические технологии и используют торакоскопию и лапароскопию, что снижает операционную травму [1,10,13]. Однако во многих клини ческих ситуациях следует пренебречь уров нем операционной травмы и для спасения жизни больного выполнять классические «открытые» операции [9,[11][12][13]. Избыточное стремление врача оказать помощь с исполь зованием малоинвазивных технологий мо жет стать фатальным для пациента.…”

Section: Introductionunclassified

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Regarding operative treatment of thoracoabdominal injuries

et al. 2019

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Aim. To improve the results of treatment in patients with thoracoabdominal injuries (TAI) by means of creating the method of determining indications for the use of classical or endoscopic surgeries in respect of this pathology. Materials and methods. Seventy-six sufferers from TAI were divided into 2 groups. Results. The method of successive determination of indications for the use of classical or endoscopic surgeries in patients with TAI was created on the basis of treatment of 41 (53.95 %) patients of group II. This method was used to treat 35 (46.05 %) patients of group I. Conclusions. Rational approach to the choice between the use of advantages of classical and endoscopic surgeries depending on characteristics of clinical situation permitted to elevate the quality of treatment in patients with TAI.

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Section: результаты и их обсуждениеunclassified

Section: Introductionunclassified

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Regarding operative treatment of thoracoabdominal injuries

et al. 2019

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“…При этом появились работы, подтверждающие высокую диагностическую и лечебную эффективность лапароскопии при проникающих ранениях живота и ТАР [22,23]. Например, M. Mjoli et al Поэтому на сегодняшний день многие авторы, занимающиеся лечением ТАР, наряду с лапаротомией, используют лапароскопию [6,25]. Взгляды на выбор в пользу лапароскопии или лапаротомии имеют особенности у различных исследователей.…”

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Modern approaches to surgical treatment of thoraco-abdominal wounds

Амарантов

Заривчацкий

Kholodar

et al. 2018

VESTNIK KHIRURGII IMENI I.I.GREKOVA

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Thoraco-abdominal wounds are the most severe injuries of the chest and abdomen, with mortality reaching 13–20 %. The main focus of treatment of such patients is surgical correction of the injuries. Wide range of classical and minimally invasive interventions is used for treatment of victims . The paper presents the range of views of modern researchers on the indications for laparocentesis, drainage of the pleural cavity, thoracoscopy and laparoscopy, thoracotomy and laparotomy in this pathology. The opinions of various researchers on the optimal combination of interventions and tactics of surgical treatment of victims with thoraco-abdominal wounds are presented. It is necessary to continue the search for optimal combinations of classical and minimally invasive interventions in relation to a variety of clinic situations that arise in the treatment of patients with thoraco-abdominal wounds.

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Leukocytes are not Reliable in Predicting Possible Diaphragmatic Injury in Patients with Penetrating Left Thoracoabdominal Stab Wounds

Yücel

Yildiz

2021

World j. surg.

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Background The diaphragm is injured in approximately one-third of penetrating left thoracoabdominal stab wounds. Diagnostic laparoscopy or thoracoscopy is performed to reveal the diaphragmatic injury. This study investigated whether leukocytes, leukocyte subgroups, platelets, the neutrophil-to-lymphocyte ratio (NLR), and the thrombocyteto-lymphocyte ratio (PLR) can be used to detect diaphragm injury without the need for diagnostic laparoscopy. Methods Patients hospitalized between January 2010 and January 2020 due to penetrating left thoracoabdominal stab wounds were examined. Laparotomy was performed in patients who had indications for laparotomy, such as hemodynamic instability and peritonitis. Diagnostic laparoscopy was performed to reveal possible diaphragmatic injury in patients who did not require laparotomy after 48h of follow-up. Leukocytes, leukocyte subgroups, platelets, NLR, and PLR were measured both at admission and during follow-up, and the results were compared between patients with and without diaphragm injury during diagnostic laparoscopy. ResultsThe study included 108 patients with penetrating left thoracoabdominal stab wounds that did not require laparotomy after 48h of follow-up. Of these, 102 patients were male (94.44%), and the average age was 27.68 years (range 15-66 years). Diaphragm injury was detected in 31 patients (28.70%) in diagnostic laparoscopy, and the diaphragm was intact in 77 patients (71.30%). In the comparison of patients with and without diaphragmatic injury, no statistically significant difference was found in terms of age, gender, platelets, leukocyte values, NLR, and PLR both at admission and during follow-up. Conclusions Leukocytes, leukocyte subsets, platelets, NLR, and PLR were insufficient in the detection of asymptomatic diaphragmatic injuries caused by penetrating left thoracoabdominal stab wounds.

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Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wounds: A Prospective cohort study

Abstract: BACKGROUND: Stab wounds in the left thoracoabdominal region may cause diaphragmatic injury. The aim of the present study was to determine incidence of diaphragmatic injury and role of diagnostic laparoscopy in detection of injury in patients with left thoracoabdominal stab wound.

Cited by 9 publications

References 30 publications

Regarding operative treatment of thoracoabdominal injuries

Regarding operative treatment of thoracoabdominal injuries

Modern approaches to surgical treatment of thoraco-abdominal wounds

Leukocytes are not Reliable in Predicting Possible Diaphragmatic Injury in Patients with Penetrating Left Thoracoabdominal Stab Wounds

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