Standard Examination System for Laparoscopy in Penetrating Abdominal Trauma

Kawahara, Nilton; Alster, C; I, Fujimura; Poggetti, Renato Sérgio; Birolini, D

doi:10.1097/ta.0b013e3181a60593

Cited by 87 publications

(76 citation statements)

References 43 publications

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“…Approximately 30% of patients with peritoneal penetration do not have intra-abdominal injuries and screening laparoscopy may still lead to high nontherapeutic laparotomy rates (24,25). However, use of DL in a systematic standardized approach for the evaluation of intraabdominal injuries rather than as a simple screening test for peritoneal violation is reported to spare 73% of nontherapeutic laparotomies (8).…”

Section: Screening and DLmentioning

confidence: 99%

“…Both animal studies and case reports suggest that the increased abdominal pressure due to pneumoperitoneum may increase intracerebral pressure and worsen an underlying TBI (15). Relative contraindications include acute lung injury, previous laparotomy, multiple system injuries, chronic cardiorespiratory disease, and third-trimester pregnancy (8,14).…”

Section: Indications Contraindications and Rationalementioning

confidence: 99%

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Through the 10-mm Looking Glass: Advances in Minimally Invasive Surgery in Trauma

Grushka

Ginzburg

2014

Scand J Surg

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Background: Minimally invasive surgery is increasingly being used in trauma surgery as both a diagnostic and a therapeutic tool. however, significant debate regarding the accuracy, safety, and indications for minimally invasive surgery in trauma continues to impede widespread acceptance of these techniques among trauma surgeons.Method: herein, we report a contemporary review of the current role of both laparoscopy and thoracoscopy in modern trauma surgery. Literature search was performed using PubMed database and the following keywords: "Trauma," "Minimally invasive surgery," "Laparoscopy," and "Thoracoscopy."Results: current recommendations advocate for the use of laparoscopy as a diagnostic tool in penetrating trauma for the diagnosis of diaphragm injuries and peritoneal violation. a significant body of research demonstrates that laparoscopy in select hemodynamically normal patients can significantly decrease nontherapeutic laparotomy rates and hospital costs and is highly sensitive and specific with very low missed injury rates, including small bowel injuries. Laparoscopic repairs to a wide breadth of abdominal and thoracic injuries have been reported with impressive results. adherence to a standardized laparoscopic examination system and routine use of laparoscopy in elective or acute care practice strongly influence positive results with minimally invasive surgery in trauma. video-assisted thoracoscopic surgery is most commonly used for evaluation of diaphragm, evacuation of retained hemothorax, and management of ongoing bleeding post-trauma.Conclusion: Minimally invasive surgery does offer several advantages compared to traditional open surgery and should be considered as an additional tool in the trauma surgeon's armamentarium in the care of select injured patients.

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Section: Screening and DLmentioning

confidence: 99%

Section: Indications Contraindications and Rationalementioning

confidence: 99%

Through the 10-mm Looking Glass: Advances in Minimally Invasive Surgery in Trauma

Grushka

Ginzburg

2014

Scand J Surg

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“…Для исключения таких ошибок предлагается дополнять лапароскопию четырехсан-тиметровым разрезом, через который последова-тельно извлекают и экстракорпорально осматрива-ОБЗОРЫ ют тонкую кишку [29]. Другие, наоборот, считают, что при лапароскопии возможен осмотр всей тон-кой кишки и сообщают об отсутствии пропущенных повреждений [30]. Выявление повреждений толстой кишки иногда вызывает существенные трудности и при лапаротомии, лапароскопия в таких случаях мо-жет иметь даже некоторые преимущества перед ла-паротомией, особенно при осмотре фиксированных участков толстой кишки [30].…”

Section: повреждения полых органовunclassified

“…Другие, наоборот, считают, что при лапароскопии возможен осмотр всей тон-кой кишки и сообщают об отсутствии пропущенных повреждений [30]. Выявление повреждений толстой кишки иногда вызывает существенные трудности и при лапаротомии, лапароскопия в таких случаях мо-жет иметь даже некоторые преимущества перед ла-паротомией, особенно при осмотре фиксированных участков толстой кишки [30].…”

Section: повреждения полых органовunclassified

Diagnostic and therapeutic potentials of laparoscopy in abdominal trauma

Панкратов¹,

Khatkov²,

Izrailov³

2015

Endosk. khir.

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“…9 However, Kawahara et al reported that a systemic approach for laparoscopic abdominal examinations resulted in the complete absence of missed bowel injuries and high avoidance of unnecessary laparotomies (73.33%). 35 Nevertheless, patients with suspected retroperitoneal involvement and those with deteriorating haemodynamic parameters should undergo an open laparotomy to prevent complications secondary to a missed injury.…”

Section: Complications Of Laparoscopymentioning

confidence: 99%

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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Standard Examination System for Laparoscopy in Penetrating Abdominal Trauma

Abstract: Standard systematic laparoscopic exploration was 100% effective to detect SBI in the peritoneal cavity. Conversion from LIT to laparotomy should be done if injuries to blind spot zones are found which are poorly evaluated by LIT. Therapeutic LIT is feasible in PAT.

Cited by 87 publications

References 43 publications

Through the 10-mm Looking Glass: Advances in Minimally Invasive Surgery in Trauma

Through the 10-mm Looking Glass: Advances in Minimally Invasive Surgery in Trauma

Diagnostic and therapeutic potentials of laparoscopy in abdominal trauma

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

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