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Laparoscopia como método diagnóstico-terapéutico en el traumatismo abdominal en la edad pediátrica [artículo]

Por: Benavent Gordo, María Isabel [Cirugía Pediátrica] | Cano Novillo, Indalecio [Cirugía Pediátrica] | Fuentes Carretero, Sara [Cirugía Pediátrica] | García Vázquez, Araceli [Cirugía Pediátrica] | Gómez Fraile, Andrés [Cirugía Pediátrica] | López Díaz, María [Cirugía Pediátrica] | Morante Valverde, Rocío [Cirugía Pediátrica] | Moreno Zegarra, Cecilia [Cirugía Pediátrica] | Portela Casalod, María Elena [Cirugía Pediátrica].
Colaborador(es): Servicio de Cirugía Pediátrica | Servicio de Cardiología.
Editor: Cirugía Pediátrica, 2011Descripción: 24(2):115-117.Recursos en línea: Solicitar documento Resumen: The management of blunt abdominal traumatism with a moderate amount of free peritoneal fluid and without solid organ injury as well as the one of minimal penetrating trauma is controversial. We present three cases of blunt abdominal trauma and two of penetrating trauma that underwent diagnostic laparoscopy in our department. We found a small bowel perforation in one of the cases of blunt trauma that was repaired by externalization of the jejuna loop by one of the ports. In the other two cases we found intestinal and mesenteric contusions and free fluid that were treated by peritoneal drainage. One of the cases of penetrating trauma presented omentum evisceration with no other injuries and the second presented a gastric perforation that needed reconversion to laparotomy. In our experience and according to literature, laparoscopy should be taken into account as a diagnostic procedure and sometimes also therapeutic in selected cases of both blunt and penetrating abdominal trauma in pediatric population.
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Artículo Artículo PC7225 (Navegar estantería) Disponible

Formato Vancouver:
Fuentes S, Cano I, López M, García A, Portela E, Moreno C, et al. Laparoscopia como método diagnóstico-terapéutico en el traumatismo abdominal en la edad pediátrica. Cir Pediatr. 2011 Apr;24(2):115-7.

PMID: 22097661

Contiene 15 referencias.

The management of blunt abdominal traumatism with a moderate amount of free peritoneal fluid and without solid organ injury as well as the one of minimal penetrating trauma is controversial. We present three cases of blunt abdominal trauma and two of penetrating trauma that underwent diagnostic laparoscopy in our department. We found a small bowel perforation in one of the cases of blunt trauma that was repaired by externalization of the jejuna loop by one of the ports. In the other two cases we found intestinal and mesenteric contusions and free fluid that were treated by peritoneal drainage. One of the cases of penetrating trauma presented omentum evisceration with no other injuries and the second presented a gastric perforation that needed reconversion to laparotomy. In our experience and according to literature, laparoscopy should be taken into account as a diagnostic procedure and sometimes also therapeutic in selected cases of both blunt and penetrating abdominal trauma in pediatric population.

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