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Use of laparoscopy in trauma at a level II trauma center Barzana DC; Kotwall CA; Clancy TV; Hope WWJSLS 2011[Apr]; 15 (2): 179-81BACKGROUND AND OBJECTIVES: Enthusiasm for the use of laparoscopy in trauma has not rivaled that for general surgery. The purpose of this study was to evaluate our experience with laparoscopy at a level II trauma center. METHODS: A retrospective review of all trauma patients undergoing diagnostic or therapeutic laparoscopy was performed from January 2004 to July 2010. RESULTS: Laparoscopy was performed in 16 patients during the study period. The average age was 35 years. Injuries included left diaphragm in 4 patients, mesenteric injury in 2, and vaginal laceration, liver laceration, small bowel injury, renal laceration, urethral/pelvic, and colon injury in 1 patient each. Diagnostic laparoscopy was performed in 11 patients (69%) with 3 patients requiring conversion to an open procedure. Successful therapeutic laparoscopy was performed in 5 patients for repair of isolated diaphragm injuries (2), a small bowel injury, a colon injury, and placement of a suprapubic bladder catheter. Average length of stay was 5.6 days (range, 0 to 23), and 75% of patients were discharged home. Morbidity rate was 13% with no mortalities or missed injuries. CONCLUSIONS: Laparoscopy is a seldom-used modality at our trauma center; however, it may play a role in a select subset of patients.|*Laparoscopy[MESH]|Abdominal Injuries/diagnosis/therapy[MESH]|Accidents, Traffic/statistics & numerical data[MESH]|Adolescent[MESH]|Adult[MESH]|Diaphragm/injuries[MESH]|Female[MESH]|Humans[MESH]|Length of Stay[MESH]|Male[MESH]|Middle Aged[MESH]|Retrospective Studies[MESH]|Trauma Centers[MESH]|Wounds and Injuries/*diagnosis/*therapy[MESH]|Wounds, Stab/diagnosis/therapy[MESH]|Young Adult[MESH] |
