The role of laparoscopy in optimization of blunt abdominal trauma treatment in children and adolescents
https://doi.org/10.34215/1609-1175-2020-1-52-54
Abstract
Objective. The study objective is to analyze the results of blunt abdominal trauma treatment in children and adolescents with an emphasis on the possibilities of minimally invasive surgery.
Methods: The results of treatment of 129 patients aged from 3 to 17 with injured internal organs due to blunt abdominal trauma were retrospectively analyzed.
Results: Medical therapy was effective in 74.6% of cases. Surgery was limited to a laparoscopy access in 13 cases (10.7%), open surgery was required to 18 patients (14.7%). One fatal outcome associated with the massive blood loss was registered.
Conclusions: The algorithm of treatment of blunt abdominal traumas, used over the last years and including laparoscopy in hemodynamically stable patients, allowed avoiding laparotomy in 85.3% of cases.
About the Authors
A. N. Shapkina
Pacific State Medical University
Russian Federation
Russian Federation
MD, PhD, Associate Prof., Institute of Surgery,
2 Ostryakova Ave., Vladivostok, 690002
M. V. Kozlova
Pacific State Medical University
Russian Federation
Russian Federation
MD,
27 Ostryakova Ave., Vladivostok, 690021
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Review
For citations:
Shapkina A.N., Kozlova M.V. The role of laparoscopy in optimization of blunt abdominal trauma treatment in children and adolescents. Pacific Medical Journal. 2020;(1):52-54. (In Russ.) https://doi.org/10.34215/1609-1175-2020-1-52-54
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