Role of laparoscopy in blunt perforations of the small bowel

Mathonnet, Muriel; Peyrou, P.; Gainant, A; Bouvier, Stéphane; Cubertafond, P

doi:10.1007/s00464-002-9049-6

Cited by 54 publications

(58 citation statements)

References 25 publications

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“…The use of DL for trauma is reported to spare a median 57% (range, 17-89%) of patients a nontherapeutic laparotomy (levels 1-3 evidence) [15][16][17][18][19][20][21][27][28][29][30][31][32][33][34][35][36][37][38][39]. On the other hand, the median percentage of nontherapeutic laparotomies after a positive DL (false-positive rate) is reported to be about 6% (range, 0-44%) (levels 1-3 evidence) [15-21, 28, 30-39].…”

Section: Diagnostic Laparoscopy For Traumamentioning

confidence: 99%

The role of diagnostic laparoscopy for acute abdominal conditions: an evidence-based review

et al. 2008

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Diagnostic laparoscopy is minimally invasive surgery for the diagnosis of intraabdominal diseases. This study aim was a critical examination of the available literature on the role of laparoscopy for the diagnosis and treatment of acute intraabdominal conditions. A systematic literature search of English-language articles on MEDLINE, the Cochrane database of evidence-based reviews, and the Database of Abstracts of Reviews of Effects was performed for the period 1995-2006. The level of evidence in the identified articles was graded. This review examines the role of diagnostic laparoscopy for acute nonspecific abdominal pain, trauma, and the acute abdomen experienced by the critically ill patient. The indications, contraindications, risks, benefits, diagnostic accuracy of the procedure, and associated morbidity are discussed. The limitations of the available literature are highlighted, and evidence-based recommendations for the use of diagnostic laparoscopy to determine acute intraabdominal conditions are provided.

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Section: Diagnostic Laparoscopy For Traumamentioning

confidence: 99%

The role of diagnostic laparoscopy for acute abdominal conditions: an evidence-based review

et al. 2008

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“…Early recognition of these injuries and timely surgical treatment offers the best prognosis. 24 Regarding treatment, exploratory laparotomy, drainage of septic peritoneal fluid and wound saline lavage are very important. Prophylactic antibiotics are required.…”

Section: Total 13mentioning

confidence: 99%

Intestinal Injury from Blunt Abdominal Trauma: A Study of 47 Cases

Mukhopadhyay¹

2009

OMJ

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“…Early recognition of these injuries and timely surgical treatment offers the best prognosis. 32 Regarding treatment, exploratory laparotomy, drainage of septic peritoneal fluid and wound saline lavage are very important. Prophylactic antibiotics are required.…”

Section: Discussionmentioning

confidence: 99%

Evaluation of intestinal injuries from blunt abdominal trauma

Manoranjan¹,

S²,

Chandrashekar³

2017

Int Surg J

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Background: To Evaluate the cause, presentation, anatomical extent, diagnostic method, management and outcome of intestinal injuries from blunt abdominal injuries.Methods: The study included 40 patients who underwent laparotomy for intestinal injuries from blunt abdominal trauma over a period of 1 year. A retrospective study was conducted, and the patients were evaluated with respect to the cause, presentation, anatomical distribution, diagnostic methods, associated injuries, treatment and mortality.Results: 40 patients with 58 major injuries to the bowel and mesentery due to blunt abdominal trauma were reviewed. The male to female ratio was 9: 1 and the average age was 32.51 years. There were 38 injuries to the small intestine including 1 duodenal injury, 13 colonic injuries and 6 isolated injuries to the mesentery. Out of 29 patients with intestinal perforation, free peritoneal air was present on plain abdominal and chest radiography in 23 patients. The commonest injury was a perforation at the antimesenteric border of the small bowel. Treatment consisted of laparotomy followed by simple closure of the perforation, resection and anastomosis and repair followed by protective colostomy for colonic perforations. 3 (7.56%) deaths were recorded, while 6 (15%) patients developed major complications.Conclusions: Bowel and mesenteric injuries may be significant and require immediate surgery or may be nonsignificant and permit nonsurgical treatment. Although early recognition of intestinal injuries from blunt abdominal trauma is difficult only by clinical assessment, nevertheless important to establish the right diagnosis due to its high infective potential. Intestinal perforations are often found accompanying other severe intra-peritoneal injuries which probably, are the determining factors in morbidity and mortality hence the main emphasis lying on early detection of the injuries and reducing the time from admission to the surgery thus playing a role in the reduction of mortality and morbidity associated with intestinal injuries following blunt trauma abdomen.

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Role of laparoscopy in blunt perforations of the small bowel

Abstract: In hemodynamically stable patients with blunt abdominal trauma, laparoscopy safely and effectively identifies small bowel injuries. Early recognition of these injuries and timely surgical treatment offer the best prognosis.

Cited by 54 publications

References 25 publications

The role of diagnostic laparoscopy for acute abdominal conditions: an evidence-based review

The role of diagnostic laparoscopy for acute abdominal conditions: an evidence-based review

Intestinal Injury from Blunt Abdominal Trauma: A Study of 47 Cases

Evaluation of intestinal injuries from blunt abdominal trauma

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