The role of video-assisted laparoscopy in management of patients with small bowel injuries in abdominal trauma

Sitnikov, Viktor; Yakubu, Abdulkadir; Sarkisyan, Vagan; Turbin, Michail

doi:10.1007/s00464-008-9910-3

Cited by 31 publications

(16 citation statements)

References 12 publications

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“…Negative laparoscopy is a term used in a case were abdominal organ injury not identified. er institutions show higher rates of complications and missed injuries and narrower range of therapeutic intervention by laparoscopy [5,16].…”

Section: Methodsmentioning

confidence: 99%

“…Negative or non-therapeutic laparotomies are associated with 20% morbidity rate [4]. A reliable and consistent tool for identification of those patients with visceral and diaphragmatic injuries is by direct visualization either by diagnostic laparoscopy or laparotomy [5]. The advantage of laparoscopy can provide both diagnostic and therapeutic interventions for those hemodynamically stable abdominal trauma patients [6].…”

Section: Introductionmentioning

confidence: 99%

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Role of Laparoscopy in Abdominal Trauma

Wafa¹,

Mustafa²,

Rawad³

et al. 2019

Int J Surg Res Pract

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Background: The role of laparoscopy in abdominal trauma has increased in the last years in diagnosis as well as therapeutic interventions. It is a viable alternative for the diagnosis of intra-abdominal injury in both penetrating and blunt trauma. The number of negative laparotomies decreased since the use of laparoscopy in trauma patients. Methods: A retrospective study of twenty eight patients with abdominal trauma (22 penetrating trauma, 6 blunt trauma) were laparoscopic intervention done by general surgery department at Aljazeera Hospital for Orthopedic and Specialized Surgery from January 2017 to March 2019. All patients underwent clinical assessment and FAST-Scan, CT-scan done for twenty patients and unavailable for eight patients. All of the patients included for the research were stable with normal blood pressure. Results: In our series twenty-eight patients with abdominal trauma, 22 penetrating trauma (78.57%) all were shotgun injuries, and 6 blunt trauma (21.43%). In penetrating trauma therapeutic laparoscopy for seven patients (31.8%), diagnostic laparoscopy for 10 patients (45.5%), and negative laparoscopy for 5 cases (22.7%). In blunt trauma therapeutic laparoscopy for 2 cases (33.3%), diagnostic laparoscopy for 3 cases (50%), and negative laparoscopy for 1 case (16.7%). The rate of conversion to laparotomies was 8 cases (28.5%) for both penetrating and blunt trauma. Conclusion: Laparoscopy can be safely performed in hemodynamically stable patients with abdominal trauma for both diagnostic and therapeutic purposes; also it helps to cut down the number of non-therapeutic laparotomies.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Role of Laparoscopy in Abdominal Trauma

Wafa¹,

Mustafa²,

Rawad³

et al. 2019

Int J Surg Res Pract

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“…Многие авторы сооб-щают об успешном применении лечебной лапаро-скопии при абдоминальной травме [7,13,16,22,25,[35][36][37][38][39][40][41][42][43][44][45][46][47].…”

Section: лечебные возможности лапароскопииunclassified

Diagnostic and therapeutic potentials of laparoscopy in abdominal trauma

Панкратов¹,

Khatkov²,

Izrailov³

2015

Endosk. khir.

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“…Laparoscopy, however, could be beneficial in some select situations, such as for patients with isolated intra-abdominal fluid accumulation of uncertain origin shown on computed tomography (CT) scans [ 13 ]. There are reports of the use of laparoscopy for blunt bowel perforations [ 14 , 15 ], liver injuries [ 13 , 16 ], and spleen injuries [ 17 , 18 ]. Our previous studies suggest the benefits of laparoscopy in avoiding the need of laparotomy for select patients with BAT, except for those with spleen injuries [ 13 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience

Lin

Chen

2018

PLoS ONE

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Laparoscopy has been used for the diagnosis and treatment for hemodynamically stable patients with penetrating abdominal trauma. This study evaluated whether diagnostic and therapeutic laparoscopy can be used as effectively in select patients with blunt abdominal trauma. All hemodynamically stable patients undergoing operations for blunt abdominal trauma over a 10-year period (2006–2015) at a tertiary medical center were included. Patients undergoing laparotomy were categorized as group A. Patients who underwent laparoscopy were categorized as group B. The clinical outcomes of the 2 groups were compared. There were 139 patients in group A and 126 patients in group B. Group A patients were more severely injured (mean injury severity score of 23.3 vs. 18.9, P < .001) and had a higher frequency of traumatic brain injuries (25.2% vs. 14.3%, P = .039). The sensitivity and specificity of diagnostic laparoscopy for patients in group B was 99.1% and 100.0%, respectively. No non-therapeutic laparotomies were performed in group B, and the success rate of therapeutic laparoscopy was 92.0% (103/112) for patients with significant intra-abdominal injuries. Patients in the 2 groups had similar perioperative and postoperative outcomes in terms of operation times, blood loss, blood transfusion requirements, mortality, and complications (all, P > .05). Laparoscopy is a feasible and safe tool for the diagnosis and treatment of hemodynamically stable patients with blunt abdominal trauma who require surgery.

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The role of video-assisted laparoscopy in management of patients with small bowel injuries in abdominal trauma

Abstract: The DVAL findings of visceral injuries give optimal approach for management of small bowel injuries in abdominal trauma.

Cited by 31 publications

References 12 publications

Role of Laparoscopy in Abdominal Trauma

Role of Laparoscopy in Abdominal Trauma

Diagnostic and therapeutic potentials of laparoscopy in abdominal trauma

Value of diagnostic and therapeutic laparoscopy for patients with blunt abdominal trauma: A 10-year medical center experience

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