Diag. Laparoscopy for Abdom. Stab Wounds

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In a fully-staffed trauma center, there is *no role* for diagnostic
laparoscopy in the patient presenting with a stab wound(s) to the anterior
abdomen who does not also exhibit the classic indications for an exploratory
laparotomy (shock, peritonitis, evisceration) *unless* one is concerned
about possible left diaphragmatic injury from stab wound to the left upper
quadrant *and* believes that such a diaphragmatic injury must be diagnosed
and treated acutely.

CM Ursic, MD
Honolulu
USA

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