scholarly journals Diagnostic laparoscopy in blunt abdominal trauma

2020 ◽  
Vol 10 (2) ◽  
Author(s):  
Tư Hoàng lê ◽  
Tiến Thành Nguyễn
Keyword(s):  
Laparoscopic Surgery ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy ◽  
Diagnostic Method ◽  
Abdominal Cavity ◽  
Descriptive Study ◽  
Associated Lesions ◽  
Laparoscopy Surgery ◽  
Multiple Traumas

Tóm tắt Đặt vấn đề: Chấn thương bụng kín (CTBK) rất khó chẩn đoán. Phẫu thuật nội soi (PTNS) nhìn rõ tổn thương có thể điều trị, liệu có thể là biện pháp chẩn đoán hỗ trợ trong cấp cứu? Phương pháp nghiên cứu: Nghiên cứu tiến cứu, các người bệnh (NB) bị CTBK khó chẩn đoán được ứng dụng PTNS chẩn đoán. Kết quả: 34 NB bị CTBK được ứng dụng PTNS để chẩn đoán. 73,5% có chấn thương phối hợp, 47% có tổn thương 2 tạng trở lên trong ổ bụng. 26 NB (76,5%) được chỉ định nội soi ổ bụng (NSOB) thăm dò chẩn đoán. 8 NB (23,5%) cần loại trừ tổn thương phối hợp. PTNS phát hiện được hết các tổn thương nhất là tổn thương tạng rỗng, mạc treo trừ tổn thương tạng đặc nhỏ sâu trong nhu mô và sau phúc mạc. Không có biến chứng do PTNS chẩn đoán gây ra. Kết luận: PTNS là biện pháp chẩn đoán xâm lấn tối thiểu có thể chẩn đoán an toàn, chính xác tổn thương trong ổ bụng ở NB bị CTBK. Ngoài ra có thể sửa chữa những tổn thương không quá phức tạp. Abstract Introduction: Diagnosis of blunt abdominal trauma (BAT) is challenging. Laparoscopy surgery allows us to see the lesions clearly for proper treatment, assist - it as a diagnostic method in emergency? Materials and Methods: Perspective descriptive study for all patients with BAT, very difficulty in diagnosis, were operated laparoscopically for this purpose. Results: Diagnostic laparoscopy was carried out in 34 BAT. 73,5% of patients had multiple traumas, 47% had more 1 injured organs in abdominal cavity. 26 patients (76,5%) was indicated to laparoscopic surgery for diagnosis purpose. It is necessery to exclude the associated lesions in 8 patiens (23,5%). Almost lesions were detected by laparoscopic surgery such lesions of hollow viscera, mesenteric lesions excepted the small lesions located deeply in parenchyme of solid viscera or retroperitoneal. No complication due to diagnostic laparoscopy occurred . Conclusion: Laparoscopic surgery is a minimally invasive, safe and accurate diagnostic approach for BAT. It also can repair the simple lesions during operation. Keywords: Diagnostic laparoscopy, abdominal trauma.

scholarly journals Methods of Diagnostic Laparoscopy

2016 ◽  
Vol 23 (3) ◽  
Author(s):  
M G Gonchar ◽  
A Ye Bogush ◽  
L D Pryymak
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Laparoscopic Surgery ◽  
Epidural Anesthesia ◽  
Local Anaesthesia ◽  
Diagnostic Laparoscopy ◽  
Hemorrhagic Stroke ◽  
Abdominal Cavity ◽  
Abdominal Organs

During the period of three years, 1,414 patients underwent laparoscopic surgery. 18 patients underwent diagnostic laparoscopy under local anaesthesia. All these patients in addition to the suspected pathology of the abdominal cavity were diagnosed with severe concomitant cardiopulmonary pathology including acute myocardial infarction, ischemic and hemorrhagic stroke, coma of various genesis, pneumonia. The proposed technique included a local anaesthesia around the navel, laparolifting, the insertion of a laparoscope and a short inspection (3-5 min) of the abdominal organs. Sometimes, especially in patients with hypertension, spinal or epidural anesthesia was used. While diagnosticating the pathology, if necessary, the anaesthesia was given, carboperitonium was applied and the necessary surgery was performed. 

The Usefulness of Diagnostic laparoscopy on Blunt Abdominal Trauma.

1996 ◽  
Vol 29 (11) ◽  
pp. 2210-2214 ◽  
Author(s):  
Yasuaki Miki ◽  
Junichi Sumimura ◽  
Toshimichi Hasegawa ◽  
Shin Mizutani ◽  
Osamu Monta ◽  
...  
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy

Diagnostic Laparoscopy in Pediatric Blunt Abdominal Trauma

Videoscopy ◽  
2020 ◽  
Vol 30 (5) ◽  
Author(s):  
Steven Mehl ◽  
Raphael Sun ◽  
Sohail Shah
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy

scholarly journals Isolated gallbladder perforation in paediatric blunt abdominal injury: A case report and review of literature

2021 ◽  
Vol 7 (2) ◽  
pp. 103-107
Author(s):  
Sujoy Neogi ◽  
Arka Banerjee ◽  
Shasanka S Panda ◽  
Simmi K Ratan
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy ◽  
Road Accident ◽  
Organ Injury ◽  
Current Evidence ◽  
Gallbladder Perforation ◽  
Free Fluid ◽  
Solid Organ ◽  
Blunt Abdominal Injury

Gallbladder injury in blunt abdominal trauma is rare, around 2% of all abdominal traumas. Vague symptoms and inconclusive imaging make it an elusive diagnosis, more so in children. Only 30 pediatric cases have been reported worldwide till date. We report a case of a 7yrs old boy presenting 2 weeks after a road accident with a gallbladder rupture which was eventually discovered on a diagnostic laparoscopy. This is the second such case being reported from India. The injury is most often identified at exploration and although cholecystectomy is the preferred treatment, there are occasions when the gallbladder may be left in situ. The classification system of Losanoff and Kjossev has merit in guiding treatment. The various presentations, mechanisms and modes of injury have been highlighted along with the clinical and imaging findings. Despite the developments in modern radiology, identifying gallbladder perforation has always been difficult because of the rarity of the condition. In a child with blunt abdominal trauma and intra-abdominal free fluid without any solid organ injury, a diagnostic peritoneal tap may be helpful. Based on the current evidence, we advocate a low threshold for performing a diagnostic laparoscopy in all such cases.

scholarly journals Isolated damage to the gallbladder in blunt trauma of the abdominal cavity

1981 ◽  
Vol 62 (5) ◽  
pp. 68-68
Author(s):  
V. P. Sukhodolov
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Abdominal Cavity ◽  
Ambulance Service ◽  
Internal Organs ◽  
Alcoholic Intoxication ◽  
The Right

We present two observations of isolated damage to the gallbladder in blunt abdominal trauma. 1. K., 24 years old, fell out of the 5th floor window. Delivered to the trauma department in 30 minutes by the ambulance service with a diagnosis of blunt trauma to the abdomen with damage to internal organs: Fracture of the right hip; alcoholic intoxication.

scholarly journals Isolated gallbladder perforation following blunt abdominal trauma in a six-year-old child

2011 ◽  
Vol 93 (5) ◽  
pp. e29-e31 ◽  
Author(s):  
Matthew KJ Jaggard ◽  
Nav Johal ◽  
Munther Haddad ◽  
Muhammad Choudhry
Keyword(s):  
Blunt Trauma ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy ◽  
Gallbladder Perforation ◽  
Age Group ◽  
Early Diagnostic

Isolated perforation of the gallbladder secondary to blunt trauma is rare. Furthermore, only a few cases exist in the infant age group. It has vague symptoms and interpretation of the radiology imaging is challenging. Diagnosis is usually made at operation. We report the case of a six-year-old boy who fell on to the handlebars of his scooter, sustaining an isolated gallbladder perforation. The authors highlight the importance of interpreting the volume of intraperitoneal fluid and early diagnostic laparoscopy.

scholarly journals Role of diagnostic laparoscopy in blunt abdominal trauma

2021 ◽  
Vol 5 (1) ◽  
pp. 338-342
Author(s):  
Dr. P Amutha ◽  
Dr. Abinayaa PU ◽  
Dr. Aswathy Harikumar ◽  
Dr. Sree Lakshmi
Keyword(s):  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Diagnostic Laparoscopy

BLUNT ABDOMINAL TRAUMA WITH HAEMOPERITONEUM TREATED BY EXPLORATORY LAPAROTOMY VERSUS ONLY ABDOMINAL DRAINAGE: A PROSPECTIVE AND COMPARATIVE STUDY.

2020 ◽  
Vol 4 (1) ◽  
Author(s):  
Dhawal Panchal ◽  
Firdaus Dekhaiya ◽  
Harin Tailor
Keyword(s):  
Hospital Stay ◽  
Abdominal Trauma ◽  
Blunt Abdominal Trauma ◽  
Exploratory Laparotomy ◽  
Blunt Injury ◽  
Abdominal Drainage ◽  
Duration Of Hospital Stay ◽  
Considerable Morbidity ◽  
Injured Patients

In today’s mechanized world, Blunt Abdominal Trauma (BAT) is a common emergency which is associated with considerable morbidity and mortality. More than 75% of abdominal traumas are blunt in nature and liver and spleen are the commonest organs to be injured as a result of BAT. The aim is to analyse and compare two groups of patient of blunt abdominal trauma managed conservatively with drainage and one by exploratory laparotomy. 50 cases of blunt abdominal trauma were taken. The patient were studied  which includes age ,sex, mode of injury, initial vitals on presentation, Mortality in each group, duration of hospital stay, pre interventions and post interventions state and requirements, complications and follow up. It was observed 48% of patients were in between age group ranging from 10 to 30. Overall in terms of sex ratio, males dominated the no. of cases. RTA was most common mode of trauma. Liver and spleen was most common organ to be injured. Patients managed by laparotomy had higher mortality rate, duration of hospital stay was more, and complication were more. Early diagnosis and repeated clinical examination and use of appropriate investigation form the key in managing blunt injury abdomen patients. Keywords:  Blunt Abdominal Trauma, Haemoperitoneum , laparotomy , Abdominal Drainage.

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