Laparoscopic Treatment of Gastric and Diaphragmatic Injury Produced by Thoracoabdominal Stab Wound

Standard Examination System for Laparoscopy in Penetrating Abdominal Trauma

“…However, subsequent studies have shown that good results are seen if hemodynamically stable patients are considered for LIT when there is equivocal evidence of penetration of the anterior abdomen during tangential PAT (GSW and SW) at the flank and TA area. [13][14][15] In the manual of Advanced Trauma Life Support, 16 LIT is cited as one of the diagnostic modalities in stable patients with penetrating TA wounds in whom there may be extraabdominal trajectories and/or a diaphragmatic lesion is suspected. Currently, one of the best indications for LIT is TA trauma; however, we were not aware of that when the study was performed.…”

“…From March 1993 to March 1997, on the basis of previously validated criteria from our Institution, [13][14][15]17 75 patients sustaining tangential PAT were evaluated by our trauma service at University of São Paulo School of Medicine, in São Paulo, Brazil. Algorithms for treatment were developed for stab wounds (SW; Fig.…”

“…Our previous experience demonstrated that LIT is a reliable tool for evaluation of trauma victims when used in selected patients and with appropriate technique. [13][14][15][16][17] Our hypothesis was that using a systematic approach for laparoscopic exploration of the peritoneal cavity which follows all principles of open exploratory laparotomy for trauma could correctly identify SBI, minimizing the potential of a missed injury.…”

Laparoscopic repair of traumatic diaphragmatic injuries

“…But with technological advancement in video equipment and endoscopic instrumentation, and maturation of advanced laparoscopic techniques, laparoscopy has been applied with therapeutic intent in the management of traumatic diaphragmatic injuries. Over the past decade, several case reports and case-control studies describing the successful repair of acute traumatic diaphragmatic lacerations and chronic traumatic diaphragmatic hernias using minimally invasive techniques have been published [6,8,10,14,23,34,35].…”

Morbimortalidade dos ferimentos penetrantes toracoabdominais associados ao trauma diafragmático e do trato digestório

“…O termo trauma toracoabdominal é bastante amplo e pode abranger uma série de situações diversas, desde simples contusão osteomuscular da parede torácica até lesões incompatíveis com a vida 4 . Nos ferimentos penetrantes as cavidades torácica e abdominal podem conter órgãos lesados 5,6,7 . O comprometimento hemodinâmico e a insuficiência respiratória é habitualmente devido à injúrias associadas 8 lesões torácicas penetrantes pode ser tratada sem abordagem cirúrgica.…”