A new tailored protocol based on laparoscopy in the management of abdominal shotgun injuries: a case-series study

Mansour, Doaa A.; Elshaer, Ahmed; Elshazly, Mostafa

doi:10.1007/s00068-018-1015-7

Cited by 3 publications

(2 citation statements)

References 20 publications

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“…The rate of stability and no clinical abdominal signs warrants more complex decision making [10]. It is in this subset where laparoscopy constitutes a useful tool potentially eliminating of non-therapeutic laparotomies and conservative management, namely delay exploration which need prolonged hospital stay and costs associated with serial labs and imaging [11].…”

Section: Resultsmentioning

confidence: 99%

Role of Laparoscopy in Abdominal Trauma

Wafa¹,

Mustafa²,

Rawad³

et al. 2019

Int J Surg Res Pract

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Background: The role of laparoscopy in abdominal trauma has increased in the last years in diagnosis as well as therapeutic interventions. It is a viable alternative for the diagnosis of intra-abdominal injury in both penetrating and blunt trauma. The number of negative laparotomies decreased since the use of laparoscopy in trauma patients. Methods: A retrospective study of twenty eight patients with abdominal trauma (22 penetrating trauma, 6 blunt trauma) were laparoscopic intervention done by general surgery department at Aljazeera Hospital for Orthopedic and Specialized Surgery from January 2017 to March 2019. All patients underwent clinical assessment and FAST-Scan, CT-scan done for twenty patients and unavailable for eight patients. All of the patients included for the research were stable with normal blood pressure. Results: In our series twenty-eight patients with abdominal trauma, 22 penetrating trauma (78.57%) all were shotgun injuries, and 6 blunt trauma (21.43%). In penetrating trauma therapeutic laparoscopy for seven patients (31.8%), diagnostic laparoscopy for 10 patients (45.5%), and negative laparoscopy for 5 cases (22.7%). In blunt trauma therapeutic laparoscopy for 2 cases (33.3%), diagnostic laparoscopy for 3 cases (50%), and negative laparoscopy for 1 case (16.7%). The rate of conversion to laparotomies was 8 cases (28.5%) for both penetrating and blunt trauma. Conclusion: Laparoscopy can be safely performed in hemodynamically stable patients with abdominal trauma for both diagnostic and therapeutic purposes; also it helps to cut down the number of non-therapeutic laparotomies.

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Section: Resultsmentioning

confidence: 99%

Role of Laparoscopy in Abdominal Trauma

Wafa¹,

Mustafa²,

Rawad³

et al. 2019

Int J Surg Res Pract

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“…As an expected consequence of pellets dispersion or confluence in the victim, which affects large bodily regions or transmits a large amount of energy within a reduced anatomical area [3][4][5]7,8,10,12 , in our study, we found a huge amount of injuries to specific organs and a high average of injured organs per patient (4.8 injuries/patient), which also required the performance of 49 primary procedures (2.3 procedures/patient) and that, in 76%, a mean of 5.3 sequential surgical procedures had to be carried out. The need for multiple surgical interventions has been described in various studies reported in the literature, given the extent of the damage caused by SGI 4,[6][7][8][10][11][12]16,17 . The above factors clearly explain the prognostic indices that were obtained.…”

Section: Discussionmentioning

confidence: 99%

Shotgun injuries: Need for a special point of view

García-Núñez¹,

Guillén-Hernández²,

Hernández-García³

et al. 2023

CIRUE

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Background: Shotgun injuries (SGIs) are infrequent, but due its special ballistics, are related to adverse outcomes. Objective: The objective of the study was to analyze operative and administrative variables, critical for the institution. Methods: Demographics and health care-related variables from SGI patients admitted to Military Central Hospital (Mexico City) between July 2006 and August 2019, were retrospectively studied. Statistics methods used were dispersion measures and relative occurrence frequency. Results: Over a 15-month span, 21 SGI patients were admitted. Mean age was 36.9 ± 13.6 years (range: 14-61) and male gender was dominant (n = 20; 95%). Type II SGIs were the most common injuries (62%; 13/21). Mean hospital length of stay was 37.1 ± 28.7 days (range: 3-109) while stay at . Global rate of morbidity was 82% (17/21) and most frequent complications were infective. Global mortality rate was 24% (5/21). Conclusions: Once SGIs cause prolonged length of stay, high rate of morbidity, and of enormous consuming of material and human resources, primary prevention strategies are convenient for health-care systems compromised to the care of these cases.

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A Comprehensive Study on the Role of Laparoscopy in Abdominal Trauma

Akela

Ravikant²,

Kumari³

2021

ijsr

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Explorative laparotomy has been the mainstay of management in patients with blunt abdominal trauma . The advantage of laparoscopy is that it can provide both diagnostic and therapeutic interventions for those hemodynamically stable abdominal trauma patients. Methods: 30 patients of blunt trauma abdomen were retrospectively studied for whom laparoscopic intervention was done. Results: In our study 30 patients with abdominal trauma were included of which 22 (76%) had penetrating trauma and 8 had blunt trauma (24%). Among penetrating trauma, seven patients (31.8%) underwent therapeutic laparoscopy whereas diagnostic laparoscopy was done for 10 patients (45.5%). Conclusions: Laparoscopy can be safely performed in haemodynamically stable patients of abdominal trauma for both diagnostic and therapeutic purposes and can help in avoiding the negative laparotomies.

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A new tailored protocol based on laparoscopy in the management of abdominal shotgun injuries: a case-series study

Cited by 3 publications

References 20 publications

Role of Laparoscopy in Abdominal Trauma

Role of Laparoscopy in Abdominal Trauma

Shotgun injuries: Need for a special point of view

A Comprehensive Study on the Role of Laparoscopy in Abdominal Trauma

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