Laparoscopic surgery for trauma: the realm of therapeutic management

Zafar, Syed Nabeel; Onwugbufor, Michael T.; Hughes, Kakra; Greene, Wendy R.; Cornwell, Edward E.; Fullum, Terrence M.; Tran, Daniel

doi:10.1016/j.amjsurg.2014.12.011

Cited by 64 publications

(61 citation statements)

References 12 publications

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“…Our patient was hemodynamically stable, and had no other contraindication for diagnostic laparoscopy. Some authors expressed concern that diagnostic laparoscopy performed by a surgeon with limited experience would result in missed injuries [7]. However, preoperative CT helps the surgeon to plan an operation and know which organ is damaged.…”

Section: Discussionmentioning

confidence: 99%

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Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report

Park

Kang

et al. 2017

Journal of Trauma and Injury

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Laparoscopy has been one of the most effective modalities in various surgical situations, although its use in trauma patients has some limitations. The benefits of laparoscopy include cost-effectiveness, shorter length of hospital stay, and less postoperative pain. This report describes diagnostic laparoscopy and laparoscopic diverting sigmoid loop colostomy in penetrating extraperitoneal rectal injury. A 41-year-old male presented with perineal pain following penetrating trauma caused by a tree limb. Computed tomography showed air density in the perirectal space and retroperitoneum. As his vital signs were stable, we performed diagnostic laparoscopy and confirmed no intraperitoneal perforation. Therefore, laparoscopic diverting sigmoid loop colostomy was performed. He was discharged without any complications despite underlying hepatitis C-related cirrhosis. Colostomy closure was performed 3 months later.

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Section: Discussionmentioning

confidence: 99%

“…However, considerable laparoscopic experience is needed for effective use [7]. The government of South Korea prohibits the non-traumatic emergency general surgery done by trauma surgeons in regional trauma centers which receive the financial support by the government, and they had relatively fewer opportunities for laparoscopic experience.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Laparoscopy and Laparoscopic Diverting Sigmoid Loop Colostomy in Penetrating Extraperitoneal Rectal Injury: A Case Report

Park

Kang

et al. 2017

Journal of Trauma and Injury

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“…In the USA, 4,755 out of 2.5 million trauma patients in 467 trauma centres underwent diagnostic laparoscopies between 2007-2010; among these, there was a 0.5% rate of missed injuries requiring a delayed laparotomy and therapeutic intervention. 6 This could potentially be due to a reduced level of expertise in the use of minimal invasive surgery in trauma patients. Nevertheless, results from both studies indicated better outcomes for laparoscopic patients in terms of reduced hospital stay and fewer complications.…”

Section: Indications For Laparoscopymentioning

confidence: 99%

“…Nevertheless, results from both studies indicated better outcomes for laparoscopic patients in terms of reduced hospital stay and fewer complications. 5,6 p e n e t r at i n g i n j u r i e s Penetrating abdominal trauma, including stabbingand gunshot-related wounds, is one of the most common causes of mortality in trauma patients. 9 This form of trauma does not have to penetrate the peritoneal cavity itself-some injuries can be tangential without violating the peritoneum.…”

Section: Indications For Laparoscopymentioning

confidence: 99%

“…[2][3][4][5][6] Unfortunately, most of the published literature on this subject are case reports or retrospective analyses; few prospective randomised trials have been undertaken to compare the benefits of laparoscopies versus laparotomies in trauma cases. The present article aims to assess the indications for and outcomes of laparoscopy in trauma patients in comparison to traditional laparotomy methods and to outline the risks and benefits of each procedure.…”

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confidence: 99%

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The Use of Laparoscopy in the Management of Trauma Patients: Brief review

El-Bendary¹,

Al-Adawi²,

Al-Qadhi³

2016

SQUMJ

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Laparoscopy is one of the most effective intervention modalities, resulting in improved outcomes for major surgeries. In the past decade, the laparoscopic approach in trauma patients has shown better diagnostic outcomes than traditional laparotomies. Furthermore, this approach is cost-effective, significantly reduces the length of hospital stay and contributes to reduced complication rates. However, the use of laparoscopies in trauma cases is generally restricted to patients with normal haemodynamic parameters and is contraindicated for individuals with head injuries. With advances in knowledge and improved training, laparoscopies can also be used in the treatment of other conditions, such as diaphragmatic injuries and organ lacerations. This article briefly reviews the extent of laparoscopy use and its significance in the management of trauma patients.

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