[Diagnostic laparoscopy and treatment choice in patients with closed abdominal injuries]
Abstract:
The results of laparoscopic investigations, conducted in 94 injured persons with preliminary diagnosis of closed abdominal trauma were analyzed. Of them in 47 the damage of internal organs was excluded. In an emergent order there were operated on 47 patients. Splenectomy was performed in 28 patients (including 2--in whom simultaneously the hepatic and pancreatic lacerations were closed by sutures), cholecystectomy--in 3, cholecystostomy, drainage of bursa omentalis--in 1, resection of small intestine--in 2, resection of omentum--in 1, closure of the small intestine wounds with sutures--in 3, of the bladder with epicystostomy performance--in 2, of the small intestine mesentery--in 2, of the liver--in 1, drainage of bursa omentalis--in 1, opening of infrahepatic abscess--in 1, examination of retroperitoneal hematoma with drainage--in 2.
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