Laparoscopic Versus Open Surgery for Abdominal Trauma: A Case-Matched Study

Trejo-Ávila, Mario; Valenzuela-Salazar, Carlos; Betancourt-Ferreyra, Jessica; Fernández-Enríquez, E.R.; Romero-Loera, Sujey; Moreno-Portillo, Mucio

doi:10.1089/lap.2016.0535

Cited by 29 publications

(42 citation statements)

References 12 publications

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“…Nonetheless, diagnostic laparoscopy, especially with preoperative CT, and laparoscopic diverting sigmoid loop colostomy do not need complicated techniques. The operative time for our case was 75 minutes, making it feasible even for the surgeon without extensive laparoscopy experience, and was comparable to that reported in another study [9].…”

Section: Discussionsupporting

confidence: 85%

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: Discussionsupporting

confidence: 85%

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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“…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].…”

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“…Д. А. Зайцев, А. В. Кукушкин [18] показанием к конверсии считают повреждение полых органов брюшной полости. При этом ряд исследователей стремятся зашить раны полых органов при лапароскопии [5,22,23].…”

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“…Раны диафрагмы авторы чаще зашивают при выполнении классического открытого доступа, а если вмешательство выполняется без лапаро или торакотомии, -то при эндоскопии. Авторы используют отдельные или непрерывные швы [6,7,10,11,22,23]. Редко применяется пластика раны лоскутами из сухожильной части диафрагмы или сетчатым полипропиленовым трансплантатом, которая чаще используется при тупой травме диафрагмы [6].…”

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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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“…Ultrasonography is noninvasive and informative method at BST and also at liver or kidney traumas [12,14,18]. Laparoscopy determines the character and degree of intraabdominal damage, quantity and character of a free fluid, localization of injuries, and it is not only diagnostic, but also treatment procedure [5,19].…”

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confidence: 99%

Organ -preserving trends in the treatment of blunt splenic trauma in children

Николаевна¹

2017

Medical news of the North Caucasus

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Surgery 276T he blunt abdominal traumas in children compose only 2-5 % of all traumas, and among them the blunt splenic trauma (BST) is about 66.6 -90 %. Splenectomy causes a number of the severe immune complications. The problem of the immune function of spleen was discovered by King and Schumacher [8] in 1952, who informed about 5 cases of death of children as a result of sepsis after splenectomy. Splenectomy is accompanied by number of postoperative complications, the most serious is postsplenectomy sepsis, and mortality in this case may be 50-90 %. The risk of development of the infection depends on age of the patient -the greatest risk is found in children till 2 years of age, the danger decreases by age, but never disappears completely [6,16].For the last 30 years there were no significant changes in at traumas of GI or kidneys in children. But the treatment tactics at the BST has undergone cardinal changes; there was a tendency to avoid operations and use conservative methods. Ruptures in the case of BST seldom involve segment vessels, and at laparotomy the spontaneous arrest of bleeding is often observed. Conservative treatment includes a strict bed regimen, monitoring, nasogastric tube, the urine control, supporting of stable hemodynamics. The child stays 5-7 days in bed in ICU or surgical unit. In the presence of not-stable hemodynamics or symptoms of GI injury, operative treatment is necessary. The percent of conservatively cured children also considerably increases if aid is provided by children's surgeons in specialized hospitals [2,3,9,10].For the decision of choice of method of treatment the most important is hemodynamics but the additional diagnostic methods are of great value too. Ultrasonography is noninvasive and informative method at BST and also at liver The results of conservative and operative treatment of 128 children with the blunt splenic trauma (BST) during last 21 years are presented. All patients have been examined and treated during the period from 1996 to 2016 in the Regional Children's Hospital, Vladivostok, Russia. This period was divided into stages depending on the beginning of use of various diagnostic methods and getting more experience in their use. In the absence of CT authors have developed the algorithm of tactics in BST, including ultrasonography (US) and laparoscopy (LS). The ratio of splenectomies was more than 20 % initially and decreased to less level than 5 % of all cases. Keywords: blunt splenic trauma, children, conservative treatmentПредставлен результат консервативного и оперативного лечения 128 детей с закрытой травмой селезенки (ЗТС) в течение последнего 21 года. Всем пациентам проведено обследование и лечение за период с 1996 по 2016 год в Краевой детской больнице №1 г. Владивостока, Россия. Этот период был разделен на этапы в зави-симости от начала использования различных методов диагностики и приобретения опыта в их использовании. Был разработан алгоритм тактики при ЗТС в отсутствие возможности проведения компьютерной томографии (КТ), наличии только ультраз...

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Laparoscopic Versus Open Surgery for Abdominal Trauma: A Case-Matched Study

Cited by 29 publications

References 12 publications

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

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

Modern approaches to surgical treatment of thoraco-abdominal wounds

Organ -preserving trends in the treatment of blunt splenic trauma in children

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