Laparoscopy in the diagnosis of blunt and penetrating injuries to the abdomen

Role of Laparoscopy in Bluntabdominal Trauma

“…It is completed in about 2.5 min However, it definitely is an operator-dependant test, and it is less accurate for diagnosis of diaphragmatic and hollow viscous injury (12) . Laparoscopy was first used for a trauma patient in 1956 by Lamy (13) since then, Gazzaniga et al (14) and Carnevale et al (13) have noted that laparoscopy is useful for determining the need for laparotomy. Berci et al (15) reported that he had reduced the number of nontherapeutic laparotomies performed for hemoperitoneum by 25% through the use of laparoscopy in 150 patients with blunt abdominal trauma .…”

Diagnostic and Therapeutic Laparoscopy in Various Blunt Abdomen Trauma

“…4 Laparoscopy was first used for a trauma patient in1956 by Lamy, who observed two cases of splenic injury. Since then, Gazzaniga et al 5 noted that laparoscopy is useful for determining the need for laparotomy. In 1991, Berci et al 6 reported that he had reduced the number of nontherapeutic laparotomy performed for hemoperitoneum by 25% through the use of laparoscopy in 150 patients with blunt abdominal trauma.…”

Traumatic Diaphragmatic Injury: A Marker of Serious Injury Challenging Trauma Surgeons

“…FAST and diagnostic peritoneal lavage (DPL) have not been used as diagnostic modality in TDI in our institution, although FAST was done routinely in all cases in red triage (serious but salvageable life-threatening injury) to look for free fluid in the abdomen, but is not used as diagnostic modality to look for TDI. Minimally invasive surgery (MIS) such as laparoscopy and VATS are finding their places in TDI as diagnostic and therapeutic modality of TDI, which are hemodynamically stable, clinicoradiologically occult, or suspected hollow viscus injury, is without major intraabdominal hemorrhage [18][19][20]. MIS was used only in five cases in our hospital.…”