Current technology: laparoscopic surgery in trauma

Abstract

There has been a rapid increase in the use of laparoscopy in general surgery over recent years. However in the field of trauma its role has not been defined and its regular use remains limited to a select group of enthusiasts. We present a review of the current literature on laparoscopic surgery in trauma including therapeutic procedures and a brief synopsis of the alternative methods of investigation for abdominal injury, and our interpretation of the current role of laparoscopic surgery in trauma today.

Keywords

diagnostic laparoscopy therapeutic laparoscopy abdominal trauma abdominal injury trauma surgery

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References

Bautz P. Laparoscopy in trauma. In: Trauma Yearbook ’94. Johannesburg: Helm Publishing, 1994: 18-20.

Boulanger BR , Brenneman FD , McLellan BA , Rizoli SB , Culhane J , Hamilton P. A prospective study of emergent abdominal sonography in blunt trauma. J Trauma 1995; 39: 325-330.

Brandt, CP , Priebe PP , Jacobs DG. Potential of laparoscopy to reduce nontherapeutic trauma laparotomies. Am Surg 1994; 60: 416-420.

Buck GC , Dalton ML , Neely WA. Diagnostic laparotomy for abdominal trauma - a university hospital experience. Am Surg 1986; 52: 41-43.

Cuschieri A , Hennesey TPJ , Stephens RB , Berci G. Diagnosis of significant abdominal trauma after road traffic accidents: preliminary results of a multicentre clinical trial comparing minilaparoscopy with peritoneal lavage. Ann R Coll Surg 1988; 70: 153-155.

Degiannis E , Levy R , Sofianos C , Potokar T , Florizoone M , Saadia R. Diaphragmatic herniation after penetrating trauma. Br J Surg 1996; 83: 88-91.

Demetriades D , Charalambides D , Lakhoo M , Pantanowitz D. Gunshot wound of the abdomen role of selective conservative management. Br J Surg 1991; 78: 220-222.

Ditmars ML , Bongard F. Laparoscopy for triage for penetrating trauma: the decision to explore. J Laparoendosc Surg 1996; 6: 285-291.

Donaldson LA , Findlay IG , Smith A. A retrospective review of 89 stab wounds to the abdomen and chest. Br J Surg 1981; 68: 793-796.

10.

Ertekin C , Onaran Y , Guloglu R , Gunay K , Taviloglu K. The use of laparoscopy as a primary diagnostic and therapeutic method in penetrating wound of lower thoracal region. Surg Laparosc Endosc 1998; 8: 26-29.

11.

Fabian TC and McCord S. Therapeutic laparoscopy in trauma. Trauma Quarterly 1993; 34: 313-313.

12.

Fabian TC , Croce MA , Stewart RM , Pritchard FE , Minard G , Kudsk KA. A prospective analysis of diagnostic laparoscopy in trauma. Ann Surg 1993; 217: 557-565.

13.

Feliciano DV. Diagnostic modalities in abdominal trauma. Peritoneal lavage, ultrasonography, computed tomography scanning and arteriography. Surg Clin North Am 1991; 71: 241-256.

14.

Fernando HC , Alle KM , Davis CI , Klein SR. Triage by laparoscopy in patients with penetrating abdominal trauma. J Trauma 1994; 81: 384-385.

15.

Frantzides CT , Ludwig KA , Aprahamian C , Salaymeh B. Laparoscopic closure of gastric stab wounds: a case report. Surg Laparosc Endosc 1993; 3: 63-66.

16.

Fry WR , Smith, RS , Schneider JJ , Organ CH Jr. Ultrasonic examination of wound tracts. Arch Surg 1995; 130: 605-607.

17.

Gazzangia AB , Stanton WW , Bartlett RH. Laparoscopy in the diagnosis of blunt and penetrating injuries to the abdomen. Am J Surg 1976; 131: 315-318.

18.

Glaser K , Tschmelitsch J , Klinger P , Wetscher G , Bodner E. Ultrasonography in the management blunt abdominal and thoracic trauma. Arch Surg 1994; 129: 743-747.

19.

Ivatury RR , Simon RJ , Weksler B , Bayard V , Stahl WM. Laparoscopy in the evaluation of the intrathoracic abdomen after penetrating injury. J Trauma 1992; 33: 101-108.

20.

Ivatury RR , Simon RJ , Stahl WM. A Critical evaluation of laparoscopy in penetrating abdominal trauma. J Trauma 1993; 34: 822-828.

21.

Ivatury RR , Simon RJ , Stahl WM. Selective celiotomy for missile wounds of the abdomen based on laparoscopy. Surg Endosc 1994; 8; 366-370.

22.

Leppaniemi AK , Elliot DC. The role of laparoscopy in blunt abdominal trauma. Ann Med 1996; 28: 483-489.

23.

Lowe RJ , Boyd DR , Folk FA , Baker RJ. The negative laparotomy for abdominal trauma. J Trauma 1972; 12: 853-861.

24.

Marks JM , Ramey RL , Baringer DC , Aszodi A , Ponsky JL. Laparoscopic repair of a diaphragmatic laceration. Surg Laparosc Endosc 1995; 5: 415-418.

25.

Marks JM , Youngelman DF , Berk T. Cost analysis of diagnostic laparoscopy vs laparotomy in the evaluation of penetrating abdominal trauma. Surg Endosc 1997; 11: 272-276.

26.

Marx JA , Moore EE. The role of computed tomography in the management of acute abdominal trauma. J Emerg Med 1985; 3: 309-310.

27.

Marx JA , Moore EE , Jorden RC , Eule J Jr. Limitation of computed tomography in the evaluation of acute abdominal trauma: a prospective comparison with diagnostic peritoneal lavage. J Trauma 1985; 25: 933-937.

28.

McCarthy MC , Lowdermilk GA , Canal DF , Broadie TA. Prediction of injury caused by penetrating wounds to the abdomen, flank and back. Arch Surg 1991; 126: 962-966.

29.

McKenney MG , Martin L , Lopez C et al. 1000 Consecutive ultrasounds for blunt abdominal trauma. J Trauma 1996; 40: 607-612.

30.

Merlotti, GJ , Marcet, E , Sheaff, DM , Dunn, R , Barrett, JA. Use of peritoneal lavage to evaluate abdominal penetration. J Trauma 1985; 25: 228-231.

31.

Merlotti, GJ , Dillon BC , Lange DA , Robin AP , Barrett JA. Peritoneal lavage in penetrating thoracoabdominal trauma. J Trauma 1988; 28: 17-23.

32.

Moore EE , Moore JB , Van Duzer-Moore S , Thompson JS. Mandatory laparotomy for gunshot wounds penetrating the abdomen. Am J Surgery 1980a; 140: 847-851.

33.

Moore EE , Moore JB , Thompson JS. Abdominal injuries associated with penetrating injuries of the lower chest. Am J Surgery 1980b; 140: 724-730.

34.

Muckart DJ , McDonald MA. Unreliability of standard quantitative criteria in diagnostic peritoneal lavage performed for suspected penetrating abdominal stab wounds. Am J Surgery 1991; 162: 223-227.

35.

Muckart DJ , Abdool-Carrim AT , King B. Selective conservative management of abdominal gunshot wounds: a prospective study. Br J Surgery 1990; 77: 652-655.

36.

Nagy KK , Krosner SM , Joseph KT , Roberts RR , Smith RF , Barrett J. A method of determining peritoneal penetration in gunshot wounds to the abdomen. J Trauma 1997; 43: 242-246.

37.

Oreskovich SR , Carrico CJ. Stab wounds of the anterior abdomen. Analysis of a management plan using local wound exploration and quantitative peritoneal lavage. Ann Surgery 1983; 198: 411-419.

38.

Ortega AE , Tang E , Froes ET , Asensio JA , Katkhouda N , Demetriades D. Laparoscopic evaluation of penetrating thoracoabdominal traumatic injuries. Surg Endosc 1996; 10: 19-22.

39.

Peterson SR , Sheldon GF. Morbidity of a negative finding at laparotomy in abdominal trauma. Surg, Gynaecol Obstet 1979; 148: 23-26.

40.

Root HD , Hauser CW , McKinley CR , Lafave JW , Mendiola RP. Diagnostic peritoneal lavage. Surgery 1965; 57: 633-637.

41.

Ross SE , Dragon GM , O’Malley KF , Rehm CG. Morbidity of negative celiotomy in trauma. Injury 1995; 26: 393-394.

42.

Rossi P , Mullins D , Thal E. Role of laparoscopy in the evaluation of abdominal trauma. Am J Surg 1993; 166: 707-710.

43.

Rozycki GS , Ochsner MG , Jaffin JH , Champion HR. Prospective analysis of surgeons use of ultrasound in the evaluation of trauma patients. J Trauma 1993; 34: 516-528.

44.

Rozycki GS , Shackford SR. Trauma ultrasound for surgeons. In: Staren ED ed. Ultrasound for the surgeon. New York: Lippincott-Raven, 1997: 120-135.

45.

Salvino CK , Esposito TJ , Marshall WJ , Dries DJ , Morris RC , Gamelli RL. The role of diagnostic laparoscopy in the management of trauma patients: a preliminary assessment. J Trauma 1993; 34: 506-515.

46.

Shaftan GW. Selective conservatism in penetrating abdominal trauma. J Trauma 1969; 9: 1026-1028.

47.

Sherck JP , Oakes DD. Intestinal injuries missed by computed tomography. J Trauma 1990; 30: 1-7.

48.

Sherck JP , McCort JJ , Oakes DD. Computed tomography in thoracoabdominal trauma. J Trauma 1984; 24: 1015-1021.

49.

Smith RS , Fry WR. Alternative techniques in laparoscopy in trauma. Trauma Quarterly 1994; 10: 291-291.

50.

Smith RS , Fry WR , Tsoi EKM et al. Gasless laparoscopy and conventional instruments. Arch Surg 1993; 128: 1102-1107.

51.

Smith RS , Fry WR , Morabito DJ , Koehler RH , Organ CH. Therapeutic laparoscopy in trauma. Am J Sur 1995; 170: 632-637.

52.

Sosa JL , Sims D , Martin L , Zeppa R. Laparoscopic evaluation of tangential gunshot wounds. Arch Surg 127: 1992; 109-110.

53.

Sosa JL , Markley M , Sleeman D , Puente I , Carillo E. Laparoscopy in abdominal gunshot wounds. Surg Laparosc Endosc 1993; 3: 417-419.

54.

Sosa JL , Arillaga A , Puente I , Sleeman D , Ginzburg E , Martin L. Laparoscopy in 121 consecutive patients with abdominal gunshot wounds. J Trauma 1995a; 39: 501-506.

55.

Sosa JL , Baker M , Puente I , Sims D , Sleeman D , Ginzburg E , Martin L. Negative laparotomy in abdominal gunshot wounds: potential impact of laparoscopy. J Trauma 1995b; 38: 194-197.

56.

ThalER, MayRA , BeesingerD. Peritoneal lavage: Its unreliability in gunshot wounds of the lower chest and abdomen. Arch Surg 1980; 115: 430-433.

57.

Thompson JS , Moore EE. Peritoneal lavage in the evaluation of penetrating abdominal trauma. Surg, Gynecol Obstet 1981; 153: 861-863.

58.

Weigelt GA , Kingman RG. Complications of negative laparotomy for trauma. Am J Surg 1988; 156: 544-547.

59.

Zantut LF , Ivatury RR , Smith S et al. Diagnostic and therapeutic laparoscopy for penetrating abdominal trauma: a multicentre experience. J Trauma 1988; 1997; 42: 825-831.