Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia.
BACKGROUND: there are a number of unnecessary laparotomies in penetrating trauma, wlth a non worthless percentage of complications. When the peritoneal injury is identifled, surgical exploration of the abdomen should be evaluated. OBJECTIVE: evaluate the penetration of...
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| Autores principales: | , , , |
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| Formato: | Artículo revista |
| Lenguaje: | Español |
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Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología
2019
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| Materias: | |
| Acceso en línea: | https://revistas.unc.edu.ar/index.php/med/article/view/26036 |
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I10-R327-article-26036 |
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ojs |
| institution |
Universidad Nacional de Córdoba |
| institution_str |
I-10 |
| repository_str |
R-327 |
| container_title_str |
Revista de la Facultad de Ciencias Médicas de Córdoba |
| language |
Español |
| format |
Artículo revista |
| topic |
penetrating abdominal trauma minilaparoscopia trauma abdominal penetrante minilaparoscopia |
| spellingShingle |
penetrating abdominal trauma minilaparoscopia trauma abdominal penetrante minilaparoscopia Peralta, Ariel Veléz, Sebastián Lucero, Sergio Florez Nicolini, Francisco Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| topic_facet |
penetrating abdominal trauma minilaparoscopia trauma abdominal penetrante minilaparoscopia |
| author |
Peralta, Ariel Veléz, Sebastián Lucero, Sergio Florez Nicolini, Francisco |
| author_facet |
Peralta, Ariel Veléz, Sebastián Lucero, Sergio Florez Nicolini, Francisco |
| author_sort |
Peralta, Ariel |
| title |
Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| title_short |
Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| title_full |
Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| title_fullStr |
Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| title_full_unstemmed |
Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| title_sort |
minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. |
| description |
BACKGROUND: there are a number of unnecessary laparotomies in penetrating trauma, wlth a non worthless percentage of complications. When the peritoneal injury is identifled, surgical exploration of the abdomen should be evaluated.
OBJECTIVE: evaluate the penetration of the peritoneum, using a diagnose methocl with direct vision.
SETTING: Hospital de Urgencias de Córdoba. Trauma Hospital.
DESIGN: To evidence peritoneum trespassing, laparoscopy was performed with local anaesthesia in patients with penetrating abdominal trauma without signs of abdominal injury in the imaging methods and doubts in the physical examination, in a prospective metting.
POPULATION: Patient with penetrating abdominal trauma, treated between May 2004 to January 2005, with doubtful diagnose of peritoneal violation.
METHOD: under sedation and local anaesthesia, a 5 millimetres laparoscope with 90 grees vision was placed at umbilicus. The anterior abdominal wall, flanks and diaphragm were exanimate, looking for the peritoneal wound or free fluid.
RESULTS: Laparotomy could be avoided in four patients. In the four remaining, laparoscopy or conventional surgery was performed. Two presented hollow víscera injury, one hemoperitoneo and the other, minimum liver damage. There were not complications in both groups. The average hospital stay of the first group was 13 hours.
CONCLUSIONS: In selected patients, the minilaparoscopy is useful in decreased the percentage of unnecessary laparotomies and general anaesthesia, and its complications. |
| publisher |
Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología |
| publishDate |
2019 |
| url |
https://revistas.unc.edu.ar/index.php/med/article/view/26036 |
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I10-R327-article-260362024-08-27T18:26:43Z Minilaparoscopy in penetrating abdominal trauma emergency room procedure with local anesthesia. Microlaparoscopia en trauma penetrante de abdomen procedimiento en la sala de emergencia con anestesia local. Peralta, Ariel Veléz, Sebastián Lucero, Sergio Florez Nicolini, Francisco penetrating abdominal trauma minilaparoscopia trauma abdominal penetrante minilaparoscopia BACKGROUND: there are a number of unnecessary laparotomies in penetrating trauma, wlth a non worthless percentage of complications. When the peritoneal injury is identifled, surgical exploration of the abdomen should be evaluated. OBJECTIVE: evaluate the penetration of the peritoneum, using a diagnose methocl with direct vision. SETTING: Hospital de Urgencias de Córdoba. Trauma Hospital. DESIGN: To evidence peritoneum trespassing, laparoscopy was performed with local anaesthesia in patients with penetrating abdominal trauma without signs of abdominal injury in the imaging methods and doubts in the physical examination, in a prospective metting. POPULATION: Patient with penetrating abdominal trauma, treated between May 2004 to January 2005, with doubtful diagnose of peritoneal violation. METHOD: under sedation and local anaesthesia, a 5 millimetres laparoscope with 90 grees vision was placed at umbilicus. The anterior abdominal wall, flanks and diaphragm were exanimate, looking for the peritoneal wound or free fluid. RESULTS: Laparotomy could be avoided in four patients. In the four remaining, laparoscopy or conventional surgery was performed. Two presented hollow víscera injury, one hemoperitoneo and the other, minimum liver damage. There were not complications in both groups. The average hospital stay of the first group was 13 hours. CONCLUSIONS: In selected patients, the minilaparoscopy is useful in decreased the percentage of unnecessary laparotomies and general anaesthesia, and its complications. ANTECEDENTES: En el trauma penetrante de abdomen, existe un número de aparotomías innecesarias, con un porcentaje de complicaciones no despreciable. Cuando se identifica lesión del peritoneo, debe ser evaluada la exploración quirúrgica del abdomen. OBJETIVO: Evaluar la penetración del peritoneo, utilizando un método de diagnostico de visión directa. LUGAR DE APLICACION: Hospital de Urgencias de Córdoba. Hospital de trauma, DISEÑO: Se realizó laparoscopia con anestesia local en pacientes con heridas penetrantes de abdomen, que no presentaran evidencias de injuria de órganos intraabdominales en los estudios de imágenes y en los cuales se planteaban dudas en el examen físico, para evidenciar lesión del peritoneo. Estudio prospectivo. POBLACION: Pacientes con trauma penetrante de abdomen, tratados entre mayo de 2004 y enero de 2005, con diagnostico dudoso de violación peritoneal. METODO: Con sedación y anestesia local a nivel umbilical, se coloco un laparoscopio de visión directa, de 5mm y 900 , con el cual se pudo observar todo el peritoneo anterior, los flancos y el diafragma, buscando la herida peritoneal o líquido libre. RESULTADOS: En cuatro pacientes pudo evitarse la aparotomía. Los cuatro restantes se convirtieron a cirugía abierta o videolaparoscopía, de los cuales dos presentaban lesión de víscera hueca, uno hemoperitoneo y otro lesión hepática mínima. No hubo complicaciones en ambos grupos. La estadía del primer grupo fue 13 horas de promedio. CONCLUSIONES: En pacientes seleccionados, la minllaparoscopía resultó útil en disminuir el porcentaje de laparotomías innecesarias y anestesia general y sus complicaciones. Universidad Nacional Córdoba. Facultad de Ciencias Médicas. Secretaria de Ciencia y Tecnología 2019-10-28 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unc.edu.ar/index.php/med/article/view/26036 Revista de la Facultad de Ciencias Médicas de Córdoba.; Vol. 64 No. 2 (2007); 40 - 44 Revista de la Facultad de Ciencias Médicas de Córdoba; Vol. 64 Núm. 2 (2007); 40 - 44 Revista da Faculdade de Ciências Médicas de Córdoba; v. 64 n. 2 (2007); 40 - 44 1853-0605 0014-6722 spa https://revistas.unc.edu.ar/index.php/med/article/view/26036/27898 Derechos de autor 2019 Universidad Nacional de Córdoba https://creativecommons.org/licenses/by-nc/4.0 |