Laparoscopy in trauma

• Previous message: New CPR Tune
• Next message: Laparoscopy in trauma
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]

> There is very little if any use for the laparoscopy in the primary
> assessment and management of either blunt or penetrating trauma of the
> abdomen.
>VATS is different. It can be used for the management of hemorrhage in
> most chest injuries. It can be used to identify diaphragmatic
> perforation ( and the potential need for a laparotomy). And it is
> cheaper in complications, time and money than a thoracotomy
>
> The chest and abdomen are two different cavities, two different types of
> problems tow different kinds of complications and two different
> outcomes. Do not try to compare these in the same thought process
>
> Norman
>
> Norman McSwain Jr, MD FACS
> Trauma Director Charity Hospital
> Professor of Surgery
> Tulane University School of Medicine
> 504 988 5111
Norm

Maybe one place for lap-scope is where VATS not available and there is
lower left chest stab (not GSW) looking for occult diaphragm injury. At
least three large series supporting this.

Tim
Dr T C Hardcastle
M.B., Ch.B. (Stell); M. Med. (Chir) (Stell); FCS (SA)
Principal Specialist Trauma Surgeon /
Honorary Lecturer UKZN Dept Surgery
Deputy Director - IALCH Trauma Service

• Previous message: New CPR Tune
• Next message: Laparoscopy in trauma
• Messages sorted by: [ date ] [ thread ] [ subject ] [ author ]