Emergency minilaparoscopy in abdominal trauma

Berci, George; Dunkelman, Daniel; Michel, Stephen L.; Sanders, George B.; Wahlström, Erik; Morgenstern, Leon

doi:10.1016/0002-9610(83)90387-2

Cited by 74 publications

(21 citation statements)

References 9 publications

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“…Berci et al [4] and Salvino et al [36] performed diagnostic laparoscopy with patient under local anesthesia and sedation with intravenous midazolam or morphine, but discomfort was developed, which limited the potential for evaluation and therapeutic intervention. We prefer to perform the procedure with the patient under general anesthesia in the operating room to facilitate positioning of the operating table for optimal viewing and to make laparoscopic instrumentation much easier.…”

Section: Discussionmentioning

confidence: 99%

Therapeutic laparoscopy for abdominal trauma

2002

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Section: Discussionmentioning

confidence: 99%

Therapeutic laparoscopy for abdominal trauma

2002

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“…Wood and co-workers report only minor complications in the literature [1]; the mortality is between 0% and 0.3%. A further disadvantage of laparoscopy is the need for an experienced staff on a 24-h basis.…”

Section: Experiencementioning

confidence: 99%

“…* Partially based on a presentation to the International Congress on Surgical Endoscopy, Ultrasound, and Interventional Techniques, Berlin 1988 Offprint requests to: G. Berci We reported earlier the value of mini-laparoscopy in blunt abdominal trauma [1,11]. We believe that this examination reduces the incidence of unnecessary exploration for cases of blunt abdominal injuries with hemoperitoneum [4,6].…”

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confidence: 99%

Mini-laparoscopy in blunt abdominal trauma

et al. 1988

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Blunt abdominal trauma in multiorgan injured or comatose patients always presents a problem. The aim is to assess, in the shortest period of time, which organ injury requires priority and whether intra-abdominal bleeding or perforation exists. Abdominal lavage proved to be too sensitive. Not every positive case needs exploration. Approximately 15%-20% of the cases explored because of positive lavage did not show a significant bleeding site that would require surgical treatment. The authors developed a mini-laparoscope that can be used at the bedside, in the emergency room, or in the intensive care unit. The procedure can be performed with intravenous sedation and local anesthesia. In 150 cases, no hemoperitoneum was found in 53% of these cases. Except for 1, none of these patients needed further exploration. In 21%, severe hemoperitoneum was discovered; these patients were transferred to the operating room, and this was confirmed by surgery. In 26%, a small amount of blood was found in the gutters. These patients were observed in the intensive care unit and an unnecessary exploration was avoided. Laparoscopy gives a wider range of decision making by observing the abdominal cavity. It can be completed in 10-20 min at the bedside. No serious complications were encountered. This procedure should be taught and practiced in trauma centers.

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“…These nontherapeutic laparotomies result in morbidity, prolonged hospitalization, and increased health care costs. With proper selection, lapa roscopy can avoid negative or nontherapeutic laparotomies in over 20% of patients [45,46].…”

Section: Abdominal Traumamentioning

confidence: 99%

Surgical Laparoscopy: Impact on the Management of Abdominal Disorders

Livingstone¹,

Sosa²

1995

Dig Dis

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Over the last 5 years, laparoscopy has revolutionized the surgical management of many abdominal disorders. Some of the problems being so treated include biliary tract disease, achalasia, gastroesophageal reflux, peptic ulcers, colonic disorders, appendicitis, and inguinal hernias. Patient acceptance is excellent and hospitalization is reduced. Safety, long-term efficacy, and cost efficiency are finally in the process of being objectively evaluated.

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Emergency minilaparoscopy in abdominal trauma

Cited by 74 publications

References 9 publications

Therapeutic laparoscopy for abdominal trauma

Therapeutic laparoscopy for abdominal trauma

Mini-laparoscopy in blunt abdominal trauma

Surgical Laparoscopy: Impact on the Management of Abdominal Disorders

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