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SHR Neuro Cancer Cardio Lipid Metab Microb

Justin, V; Fingerhut, A; Uranues, S.
Laparoscopy in Blunt Abdominal Trauma: for Whom? When?and Why?
Curr Trauma Rep. 2017; 3(1):43-50 Doi: 10.1007/s40719-017-0076-0 [OPEN ACCESS]
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Leading authors Med Uni Graz: Uranüs Selman
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Abstract:: The management of blunt abdominal trauma has evolved over time. While laparotomy is the standard of care in hemodynamically unstable patients, stable patients are usually treated by non-operative management (NOM), incorporating adjuncts such as interventional radiology. However, although NOM has shown good results in solid organ injuries, other lesions, namely those involving the hollow viscus, diaphragm, and mesentery, do not qualify for this approach and need surgical exploration. Laparoscopy can substantially reduce additional surgical aggression. It has both diagnostic and therapeutic potential and, when negative, may reduce the number of unnecessary laparotomies. Although some studies have shown promising results on the use of laparoscopy in blunt abdominal trauma, randomized controlled studies are lacking. Laparoscopy requires adequate training and experience as well as sufficient staffing and equipment.
Find related publications in this database (Keywords): Abdominal trauma; Blunt abdominal injury; Negative laparotomy; Laparoscopy; Hollow viscus injury; Diaphragmatic injury; Mesenteric injury