The use of laparoscopy in the diagnosis and treatment of blunt and penetrating abdominal injuries: 10-year experience at a level 1 trauma center - 16/02/13
, Tabitha Garwe, Ph.D. a, b, Alexander R. Raines, M.D. a, Joseph B. Thurman, M.D. c, Sandra Carter, M.P.H. b, Jeffrey S. Bender, M.D. a, Roxie M. Albrecht, M.D. a
Corresponding author. Tel.: +1-405-740-6374; fax: +1-405-271-3919.Abstract |
Background |
Diagnostic laparoscopy (DL) has decreased the rate of nontherapeutic laparotomy for patients suffering from penetrating injuries. We evaluated whether DL similarly lowers the rate of nontherapeutic laparotomy for patients with blunt injuries.
Methods |
All patients undergoing DL over a 10-year period (ie, 2001–2010) in a single level 1 trauma center were classified by the mechanism of injury. Demographic and perioperative data were compared using the Student t and Fisher exact tests.
Results |
There were 131 patients included, 22 of whom sustained blunt injuries. Patients suffering from blunt injuries were more severely injured (Injury Severity Score 18.0 vs 7.3, P = .0001). The most common indication for DL after blunt injury was a computed tomographic scan concerning for bowel injury (59.1%). The rate of nontherapeutic laparotomy for patients sustaining penetrating vs blunt injury was 1.8% and nil, respectively.
Conclusions |
DL, when coupled with computed tomographic findings, is an effective tool for the initial management of patients with blunt injuries.
Le texte complet de cet article est disponible en PDF.Keywords : Abdominal trauma, Diagnostic laparoscopy, Nontherapeutic laparotomy
Plan
| The authors declare no conflicts of interest. |
Vol 205 - N° 3
P. 317-321 - mars 2013 Retour au numéro
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