Journal ArticleDOI
Laparoscopic Versus Open Surgery for Abdominal Trauma: A Case-Matched Study.
Mario Trejo-Avila,Carlos Valenzuela-Salazar,Jessica Betancourt-Ferreyra,Enrique Fernández-Enríquez,Sujey Romero-Loera,Mucio Moreno-Portillo +5 more
TLDR
Laroscopic surgery for abdominal trauma, either blunt or penetrating, is safe and technically feasible in hemodynamically stable patients and is associated with shorter operative time, lower estimated blood loss, faster return to normal diet, and shorter hospital LOS.Abstract:
Background: The use of laparoscopic surgery in abdominal emergencies, such as in trauma, has had a slow acceptance. The advantages described with this approach include less postoperative pain, faster recovery, quicker return to everyday activities, and fewer wound complications. The aim of this retrospective study was to compare outcomes following laparoscopic versus open surgery for abdominal trauma (either blunt or penetrating). Materials and Methods: Nineteen patients with abdominal trauma who underwent laparoscopic surgery from January 2013 to May 2016 were compared with 19 patients undergoing open surgery during the same time period. Patients were matched (1:1) for age, gender, body–mass index, American Society of Anesthesiologists score, hemodynamic stability, and injury mechanism. Intra- and postoperative variables were compared between groups. Results: Laparoscopic group displayed a significantly shorter operative time (93.3 versus 134.2 minutes; P < .009), lower estimated blood loss (100...read more
Citations
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Journal ArticleDOI
Laparoscopy in penetrating abdominal trauma is a safe and effective alternative to laparotomy
TL;DR: The use of DL over a 10-year period in patients who presented to the authors' level 1 trauma center with PAT is analyzed to add to the body of literature supporting the role of laparoscopy in PAT, and advances the discussion regarding management.
Journal ArticleDOI
The analgesic efficacy compared ultrasound-guided continuous transverse abdominis plane block with epidural analgesia following abdominal surgery: a systematic review and meta-analysis of randomized controlled trials
TL;DR: Continuous TAP block, combined with NSAIDs, can provide non-inferior dynamic analgesia efficacy compared with EA in postoperative pain management after abdominal surgery and is associated with fewer postoperative side effects.
Journal ArticleDOI
Laparoscopy versus conventional laparotomy in the management of abdominal trauma: a multi-institutional matched-pair study
Yunhe Gao,Shaoqing Li,Hongqing Xi,Shibo Bian,Kecheng Zhang,Jianxin Cui,Jiyang Li,Feide Liu,Yi Liu,Yixun Lu,Baohua Wang,Zhi Qiao,Lin Chen +12 more
TL;DR: Laroscopy is feasible and safe in treating abdominal trauma patients in hemodynamically stable conditions performed by experienced surgeons and might have the advantages of reduced pain and quicker recovery with similarly favorable clinical outcomes.
Journal ArticleDOI
Laparoscopy vs. Laparotomy for the Management of Abdominal Trauma: A Systematic Review and Meta-Analysis
Jianjun Wang,L Cheng,Jing Liu,Bin Zhang,Weijun Wang,Wenxin Zhu,Yan-Mei Guo,Chuanfei Bao,Yu Ning Hu,Shanxin Qi,Kai Wang,Shuguang Zhao +11 more
TL;DR: Meta-analysis results suggest that laparoscopic surgery is a practical alternative to laparotomy for appropriate patients, and those in the laparoscopy group are at a similar risk of intra-abdominal abscesses, thromboembolism, and ileus while there is a decreased incidence of wound infection and pneumonia.
Journal ArticleDOI
Decreased Length of Stay After Laparoscopic Diaphragm Repair for Isolated Diaphragm Injury After Penetrating Trauma
Haris Chaudhry,Areg Grigorian,Michael Lekawa,Matthew Dolich,Ninh T. Nguyen,Brian R. Smith,Sebastian D. Schubl,Jeffry Nahmias +7 more
TL;DR: Trauma patients presenting with IDI undergoing ODR had a longer hospital LOS compared to patients undergoing LDR with no difference in complications or mortality, and it is recommended when possible an LDR should be employed to decrease hospitalLOS.
References
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Practice Management Guidelines for Selective Nonoperative Management of Penetrating Abdominal Trauma
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TL;DR: Although the rate of nontherapeutic laparotomies after penetrating wounds to the abdomen should be minimized, this should never be at the expense of a delay in the diagnosis and treatment of injury.
Journal ArticleDOI
Role of Laparoscopy in Penetrating Abdominal Trauma: A Systematic Review
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Emergency laparoscopy: a new emerging discipline for treating abdominal emergencies attempting to minimize costs and invasiveness and maximize outcomes and patients' comfort.
Journal ArticleDOI
Validating the Western Trauma Association Algorithm for Managing Patients With Anterior Abdominal Stab Wounds: A Western Trauma Association Multicenter Trial
Walter L. Biffl,Krista L. Kaups,Tam N. Pham,Susan E. Rowell,Gregory J. Jurkovich,Clay Cothren Burlew,Joel Elterman,Ernest E. Moore +7 more
TL;DR: The WTA proposed algorithm for AASW management is designed for cost-effectiveness and can be performed without the added expense of CT, DPL, or laparoscopy, and should be confirmed in a larger number of patients to more convincingly evaluate the algorithm's safety and cost- effectiveness.