Laparoscopic Management of Blunt and Penetrating Abdominal Trauma: A Single-Center Experience and Review of the Literature

Thoraco-abdominal impalement injury with an iron rod: A case report

“…These injuries are difficult to manage due to their severity and concomitant hemodynamic instability, requiring multi-disciplinary care in a tertiary referral facility [6] , [12] , [13] . Due to the likelihood of serious organ and vascular damage impairing the normal physiology of breathing and circulation, adequate resuscitation and continuous monitoring are essential pre- and intra-optatively [9] , [14] .…”

Penetrating gallbladder injury in a pediatric patient: a case report

“…Advances in minimally invasive surgery have allowed patients that are hemodynamically normal to undergo diagnostic laparoscopy instead of open abdominal exploration. This technique has been shown to be safe and practical in selected patients when performed by experienced surgeons [4,5]. It enables a complete evaluation of intra-abdominal viscera, reduces the incidence of nontherapeutic operations, and allows a therapeutic intervention when needed [5].…”

“…This technique has been shown to be safe and practical in selected patients when performed by experienced surgeons [4,5]. It enables a complete evaluation of intra-abdominal viscera, reduces the incidence of nontherapeutic operations, and allows a therapeutic intervention when needed [5]. Laparoscopy allowed us to carefully evaluate the colonic hepatic flexure and surrounding structures, ruling out colonic injury without the need for open exploration and allowing identification of the gallbladder wall injury and bile spillage.…”

Laparoscopy in Trauma: Can Brazil fit into the global trend?

“…The consecrated advantages of laparoscopy, such as shorter hospitalization time, early return to activities, and lower incidence of infection are also evidenced in the trauma context 2 , 4 , 16 - 18 . Prospective studies are still scarce, but retrospective observational studies have shown similar and encouraging results towards validating the role of laparoscopy in trauma, rendering this approach increasingly used for therapeutic purposes 7 , 9 , 14 , 16 - 19 . For the selection of eligible patients, contrast-enhanced computed tomography (CT) scan is a great ally for assessing vascular and retroperitoneal lesions, in addition to identifying associated ones.…”