Role of Laparoscopy in Bluntabdominal Trauma

Yehia, Mohamed; Khalifa, Sami; Atia, Mohamed El Sadek; Wael, Mohamed; AbdAlla, AbdAlla; Ali, Ramadan M.

doi:10.21608/zumj.2013.4304

Cited by 4 publications

(5 citation statements)

References 13 publications

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“…Accidental fall from height was the mode of injury in 3 (13.6%) patients and pedestrian in 3 (13.6%) patients as found in our study. The study corresponded with the previous studies regarding the mode of injury as mentioned by the other authors like Yehia et al and Kala et al 16,17 The most common presentation was pain and tenderness in the abdomen. Distension, guarding, obstipation, vomiting was found in the various percentage of patients.…”

Section: Discussionsupporting

confidence: 90%

“…12 cases (55%) required laparotomy after the diagnostic laparoscopy. These statistics were the same as observed by the various authors like Koto et al and Yehia et al 16,19 As far as the operative procedure was concerned 45.5% of our cases were managed laparoscopically and the rest of the patients underwent laparotomy. Choi et al was able to manage all the cases laparoscopically and no conversion to laparotomy was required.…”

Section: Discussionsupporting

confidence: 88%

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The study on the role of laparoscopy in the blunt abdominal trauma: a case series

et al. 2022

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The blunt trauma to the abdomen is the leading cause of mortality and morbidity in India and also worldwide. The young and productive age group are the main victims. The common causes of blunt injury to the abdomen are road traffic accidents, assault, fall from height and work-related injuries. Abdominal trauma is present in 7-10% of all trauma victims and in cases of severe trauma, it is often associated with orthopedic, thoracic or central nervous system injuries. Identification of serious intra-abdominal injuries is often challenging. Thus, a rapid and accurate diagnosis is mandatory. The diagnostic laparoscopy has gained widespread acceptance as a valuable tool for the diagnosis and management of patients with blunt abdominal trauma. When the imaging techniques fail to give the precise diagnosis, diagnostic laparoscopy is a viable alternative for the management of such trauma. This case series consisted of 22 patients admitted to our institute. All the patients underwent diagnostic laparoscopy. The blunt trauma managed by laparoscopy while 12 patients required conversion to exploratory laparotomy. It was observed that the most common organ injured was spleen in 10 patients (45.4%), liver in 9 patients (40.9%), mesenteric injury in 4 patients (18.1%) and small bowel injury in 3 patients (13.6%) respectively. Diagnostic and therapeutic laparoscopy is a preferred in hemodynamically stable patients, it reduces the hospital stay and postoperative complications. This case series underlines the importance of diagnostic and therapeutic application of laparoscopy in the victims of blunt injury abdomen.

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Section: Discussionsupporting

confidence: 90%

Section: Discussionsupporting

confidence: 88%

The study on the role of laparoscopy in the blunt abdominal trauma: a case series

et al. 2022

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“…Yehia et al also reported RTA most common causes of BAT followed by pedestrian accidents, fall from heights and abdominal blows. 7 In this series only one patient had blunt injury due to restraint by seat belt that led to perforation. However incidence of seat belt injury resulting in bowel perforation was higher in other studies mainly by Chandler et al who reported 6% incidence of bowel perforation among patients restraint by seat belt in a car accidents.…”

Section: Discussionmentioning

confidence: 76%

“…According to Yehia et al most of the associated intra-abdominal injuries were in liver followed by spleen. 1,7,11 26 patients were operated within 12 hours of reaching hospital and 3 patients were operated after 12 hours. The morbidities and mortalities were similar in both these groups.…”

Section: Discussionmentioning

confidence: 99%

“…Madhumita reported associated injuries in 13 out of 47 patients (13%) and the most common extra-abdominal injuries were skeletal. 1,7,11 Nine patients were taken for surgery on x-ray findings alone, nine patients operated on the basis of CT scan, USG with features of pertonism was seen in six patients and five patients were diagnosed clinically as having peritonitis. The presence of free fluid without solid organ injury on CT scan in patients with BAT is an indication of surgery.…”

Section: Discussionmentioning

confidence: 99%

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Recognition and management of small bowel and mesenteric injuries in blunt abdominal trauma

2016

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An Isolated Mesenteric Injury Due to Blunt Trauma Abdomen Causinggangrene of Small Bowel

Shanthi

Khanna

et al. 2022

PIJR

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Hollow viscous injury and mesenteric vascular injury after a blunt trauma abdomen although may be third most common injury , occurs only in 3 to 5 % of patients making it a rare entity. Significant mesentric injury includes disruption of mesenteric, active mesenteric bleeding, and mesenteric injury leading to gangrenous bowel.A 56 year old male was brought to the emergency room with history of road traffic accident with no external injuries.On presentation his vitals were stable , examination of abdomen revealed tense abdomen with guarding and rigidity. Given the hemodynamic stability of the patient CT scan of abdomen was done which revealed intraperitoneal free fluid , normal solid organs, abnormal bowel wall enhancement with extraluminal air pockets.Patient underwent emergency laparotomy to find out a massive hemoperitoneum with long segment gangrenous illeal bowel loop. Gangrenous bowel segment was resected and double barrel ileostomy was fashioned. The mechanism of injury involved is either direct compression forces or shearing and deceleration forces in Blunt trauma abdomen.Undiagnosed mesenteric injuries are associated with high morbidity and mortality rates due to life-threatening haemorrhage from disruption of mesenteric vessels, bowel infarction and peritonitis . This can be avoided by using imaging investigations af earliest and emergency surgical intervention.

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Role of Laparoscopy in Bluntabdominal Trauma

Cited by 4 publications

References 13 publications

The study on the role of laparoscopy in the blunt abdominal trauma: a case series

The study on the role of laparoscopy in the blunt abdominal trauma: a case series

Recognition and management of small bowel and mesenteric injuries in blunt abdominal trauma

An Isolated Mesenteric Injury Due to Blunt Trauma Abdomen Causinggangrene of Small Bowel

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