Fully therapeutic laparoscopy for penetrating abdominal trauma in stable patients

We performed a retrospective study of PAT patients with hemodynamic stability who presented to 2 medical centers in Bogota Colombia between December 2018 and December 2019. All patients underwent to diagnostic with fully therapeutic laparoscopic surgical treatment. Our chart review included 192 pati...

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Autores:
Cabrera-Vargas, Luis Felipe
Pedraza, Mauricio
Rincon, Francisco Alejandro
Pulido-Segura, Jean Andre
Mendoza-Zuchini, Andrés
Gómez, Daniel
Moreno-Villamizar, María Daniela
Ferrada, Paula
López, Paula A.Javier
Tipo de recurso:
Article of journal
Fecha de publicación:
2022
Institución:
Universidad El Bosque
Repositorio:
Repositorio U. El Bosque
Idioma:
eng
OAI Identifier:
oai:repositorio.unbosque.edu.co:20.500.12495/6773
Acceso en línea:
http://hdl.handle.net/20.500.12495/6773
https://doi.org/10.1016/j.amjsurg.2021.07.008
Palabra clave:
Cirujanos laparoscópicos
Cirugía de trauma
Trauma abdominal
Laparoscopia terapéutica
Diagnóstico
Abdominal trauma
Therapeutic laparoscopy
Diagnosis
Laparoscopic surgeons
Trauma surgery
Rights
openAccess
License
Acceso abierto
Description
Summary:We performed a retrospective study of PAT patients with hemodynamic stability who presented to 2 medical centers in Bogota Colombia between December 2018 and December 2019. All patients underwent to diagnostic with fully therapeutic laparoscopic surgical treatment. Our chart review included 192 patients with PAT. Patients who were hemodynamically unstable, partial or not fluid resuscitation responders, under 15 years of age were excluded. Twenty four patients met selection criteria and underwent initial laparoscopic evaluation with diagnosis and fully therapeutic laparoscopic definitive treatment. Sociodemogrphic, intraoperatory and postoperatoy variables were analyzed. The patients were evaluated by a multidisciplinary group of surgeons with training in laparoscopy and trauma surgery. The benefits, complications and the possible need of conversion to open surgery were explained to all patients and clearly exposed in the informed consent. The type of PAT was classified between a gunshot wound and stab wound. Intraoperatively, the therapeutic approach was defined after the initial damage assessment, the surgeon's expertise, the degree of contamination and the general condition of the patient.