Laparoscopic Management of Left Thoracoabdominal Stab Wounds: A Prospective Study

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dc.authorid0000-0002-4862-2891
dc.authorid0000-0002-6036-8056
dc.authorid0000-0002-5878-7489
dc.authorscopusid6603744762
dc.authorscopusid8704795900
dc.authorscopusid39461792800
dc.authorscopusid55938195300
dc.authorscopusid26041059900
dc.authorscopusid6507499088
dc.authorscopusid26026591400
dc.authorwosidilgun, Ahmet Serkan/Q-8776-2019
dc.contributor.authorYücel, Tayfun
dc.contributor.authorGönüllü, Doğan
dc.contributor.authorMatur, Rifat
dc.contributor.authorAkıncı, Hakan
dc.contributor.authorGürdal Özkan, Sibel
dc.contributor.authorKuroğlu, Erol
dc.contributor.authorKöksoy, Ferda Nihat
dc.date.accessioned2022-05-11T14:34:52Z
dc.date.available2022-05-11T14:34:52Z
dc.date.issued2010
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalı
dc.description.abstractBackground: Left thoracoabdominal stab wounds (LTSWs) leading to diaphragmatic injuries can cause serious morbidity and mortality. The diagnosis and treatment of LTSWs are controversial. This study investigated the reliability of laparoscopy for the diagnosis and treatment of diaphragmatic lacerations in hemodynamically stable patients with an LTSW, hypothesizing that laparoscopy is sufficient for diagnosing and treating diaphragmatic injury after an LTSW. Methods: This study included 36 cases of LTSWs with no hemodynamic instability or abdominal tenderness seen between June 2002 and June 2007. After systemic examination and resuscitation of the patients, chest x-ray and focused assessment with sonography for trauma were carried out and then laparoscopic exploration was performed in all cases. Results: Of the 36 cases, 36.1% (n = 13) had injuries to the diaphragm and 53.8% (7/13) had associated intraabdominal injuries. Nine (69.2%) of the patients with diaphragmatic injuries, but no hollow organ injuries, were repaired through laparoscopy. The hemopneumothorax was found in 33.3% (n = 12) of the patients. No relationship was seen between diaphragmatic injuries and the location of the LTSW and existence of hemopneumothorax. Conclusions: Laparotomy was required in only 11.1% (4/36) of the cases with LTSWs and 30.8% (4/13) of the cases with diaphragmatic injury. Diagnostic and therapeutic laparoscopy was a sufficient and necessary surgical procedure in cases with a hemodynamically stable LTSW, when emergency surgery (laparotomy or thoracotomy) was not necessary.
dc.identifier.doi10.1097/SLE.0b013e3181cdb749
dc.identifier.endpage45
dc.identifier.issn1530-4515
dc.identifier.issn1534-4908
dc.identifier.issue1en_US
dc.identifier.pmid20173620
dc.identifier.scopus2-s2.0-77649174074
dc.identifier.scopusqualityQ2
dc.identifier.startpage42
dc.identifier.urihttps://doi.org/10.1097/SLE.0b013e3181cdb749
dc.identifier.urihttps://hdl.handle.net/20.500.11776/8122
dc.identifier.volume20
dc.identifier.wosWOS:000275530300009
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthorGürdal Özkan, Sibel
dc.language.isoen
dc.publisherLippincott Williams & Wilkins
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniques
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectthoracoabdominal trauma
dc.subjectzones
dc.subjectstab wounds
dc.subjecthemopneumothorax
dc.subjectlaparoscopy
dc.subjectdiaphragmatic injuries
dc.subjectdiaphragm wound size
dc.subjectlaparoscopic repair
dc.subjectPenetrating Abdominal-Trauma
dc.subjectDiagnostic Laparoscopy
dc.subjectDiaphragmatic Injury
dc.subjectPeritoneal-Lavage
dc.subjectLower Chest
dc.subjectRegion
dc.subjectThoracoscopy
dc.subjectExploration
dc.subjectAbdomen
dc.subjectRupture
dc.titleLaparoscopic Management of Left Thoracoabdominal Stab Wounds: A Prospective Study
dc.typeArticle

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