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العنوان
Emergency Laparoscopy in Abdominal Trauma /
الناشر
Tarek Mihammed Ali A. AL-Fergany,
المؤلف
AL-Fergany, Tarek Mihammed Ali A.
هيئة الاعداد
باحث / Tarek Mihammed Ali A. AL-Fergany
مشرف / Medhat Moustafa Sabet
مشرف / Fahim Ali AL-Bassiony
مشرف / Gamal Sayed Saleh
مشرف / Essam Shelbaya
الموضوع
Surgery Laparoscopy in Abdominal Trauma
تاريخ النشر
2003 .
عدد الصفحات
263 p. :
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
جراحة
تاريخ الإجازة
1/1/2003
مكان الإجازة
جامعة المنيا - كلية الطب - General Surgery
الفهرس
Only 14 pages are availabe for public view

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from 324

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.