الفهرس | Only 14 pages are availabe for public view |
Abstract In our study laparoscopy was valuable in evaluating intraperitoneal hollow viscera (stomach, small bowel, transverse and pelvic colon, and urinary bladder). However, the capabilities of laparoscopy should not be overestimated. DL missed an extra peritoneal colonic injury with tragic consequence. This underscored the fact that DL can not rule out with certainty a posterior colon injury, and local findings should dedicate the need for laparotomy. Obviously, a low threshold for conversion to a formal laparotomy is recommended at this early stage. For years to come, we recommend the use of emergency laparoscopy in hemodynamically stable patients with BAT and SWs according to our suggested management algorithm. This would provide us with a statistically significant number of cases and would draw a more valuable conclusion. Up to this time, we thank that our patient population was representative for both the strength and the pitfalls of emergency laparoscopy in trauma. |