The Vaule of Diagnostic and Therapeutic Laparoscopy for Abdominal Stab Wounds

Autor: Heng-Fu Lin, 林恆甫
Rok vydání: 2010
Druh dokumentu: 學位論文 ; thesis
Popis: 98
Background The purpose of this study was to evaluate the use of laparoscopy for the diagnosis and treatment for hemodynamically stable patients with abdominal stab wounds. Methods We conducted a retrospective cohort study to compare the outcomes of 86 hemodynamically stable patients with suspected intra-abdominal injuries due to abdominal stab wounds who either underwent exploratory laparotomy or diagnostic laparoscopy. Thirty-eight patients (Group A) were treated before the adoption of laparoscopy as a diagnostic and therapeutic tool for abdominal stabbing injuries at our hospital, and 48 patients (group B) were treated after. Demographic information, injury severity, operative findings, rates of non-therapeutic interventions, operation time, length of hospital stay, and morbidity of the 2 groups were evaluated. Results There was no difference in the demographics and injury severity between the two groups. Laparoscopy decreased the non-therapeutic laparotomy rate from 57.9% in Group A to 0% in Group B (p
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