Use of Laparoscopy in Trauma at a Level II Trauma Center
| Autor: | Daniel C. Barzana, William W. Hope, Thomas V. Clancy, Cyrus A. Kotwall |
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| Rok vydání: | 2011 |
| Předmět: |
Adult
Male medicine.medical_specialty Adolescent Diaphragm Abdominal Injuries Wounds Stab Trauma Young Adult Trauma Centers Scientific Papers Humans Medicine Diagnostic Young adult Laparoscopy Retrospective Studies medicine.diagnostic_test business.industry Mortality rate Trauma center Accidents Traffic Retrospective cohort study Length of Stay Middle Aged Liver Laceration Diaphragm (structural system) Surgery Wounds and Injuries Female Level ii Therapeutic business |
| Zdroj: | JSLS : Journal of the Society of Laparoendoscopic Surgeons |
| ISSN: | 1938-3797 1086-8089 |
| DOI: | 10.4293/108680811x13071180406358 |
| Popis: | Although laparoscopy is little used in trauma, it may have a significant role in a select subset of patients. Background and Objectives: Enthusiasm for the use of laparoscopy in trauma has not rivaled that for general surgery. The purpose of this study was to evaluate our experience with laparoscopy at a level II trauma center. Methods: A retrospective review of all trauma patients undergoing diagnostic or therapeutic laparoscopy was performed from January 2004 to July 2010. Results: Laparoscopy was performed in 16 patients during the study period. The average age was 35 years. Injuries included left diaphragm in 4 patients, mesenteric injury in 2, and vaginal laceration, liver laceration, small bowel injury, renal laceration, urethral/pelvic, and colon injury in 1 patient each. Diagnostic laparoscopy was performed in 11 patients (69%) with 3 patients requiring conversion to an open procedure. Successful therapeutic laparoscopy was performed in 5 patients for repair of isolated diaphragm injuries (2), a small bowel injury, a colon injury, and placement of a suprapubic bladder catheter. Average length of stay was 5.6 days (range, 0 to 23), and 75% of patients were discharged home. Morbidity rate was 13% with no mortalities or missed injuries. Conclusions: Laparoscopy is a seldom-used modality at our trauma center; however, it may play a role in a select subset of patients. |
| Databáze: | OpenAIRE |
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