Journal article
LAPAROSCOPY IN THE EVALUATION OF THE INTRATHORACIC ABDOMEN AFTER PENETRATING INJURY
The journal of trauma, v 33(1), pp 101-109
Jul 1992
PMID: 1635093
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Penetrating trauma to the intrathoracic abdomen is a difficult clinical problem, especially with reference to the detection of diaphragmatic injuries. A retrospective analysis of 657 laparotomies for penetrating abdominal trauma at our institution revealed 78 laparotomies with negative results. The majority (44.8%) were for wounds in the lower chest and upper abdomen. The role of laparoscopy in evaluating these difficult areas was studied in 40 (34 stab wounds and 6 gunshot injuries) patients. Fifteen stab wounds and five gunshot wounds were nonpenetrating. Laparoscopy revealed eight clinically unsuspected diaphragmatic lacerations in seven patients. Twenty patients had hemoperitoneum. Five patients with omental bleeding and abdominal wall bleeding and four with nonbleeding liver lacerations underwent nontherapeutic laparotomies. One patient with a nonbleeding liver laceration was observed successfully without laparotomy. Ten of the 20 patients with hemoperitoneum had therapeutic laparotomies. The incidence of diaphragmatic lesions discovered by laparoscopy in this series was comparable with that reported after a mandatory laparotomy for thoracoabdominal wounds. It is concluded that laparoscopy is an excellent modality for the evaluation of the intrathoracic abdomen and the diaphragm.
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Details
- Title
- LAPAROSCOPY IN THE EVALUATION OF THE INTRATHORACIC ABDOMEN AFTER PENETRATING INJURY
- Creators
- Rao Ivatury - Lincoln Medical CenterRonald Simon - Lincoln Medical CenterBenny Weksler - New York Medical CollegeVilaire Bayard - Lincoln Medical CenterWilliam Stahl - Lincoln Medical Center
- Publication Details
- The journal of trauma, v 33(1), pp 101-109
- Publisher
- Williams & Wilkins
- Number of pages
- 9
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Surgery
- Web of Science ID
- WOS:A1992JF93600017
- Scopus ID
- 2-s2.0-0026778594
- Other Identifier
- 991021960647504721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Web of Science research areas
- Critical Care Medicine
- Surgery