Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study

Alimoglu, Orhan; TOLAN, Huseyin Kerem; BAŞ, Gürhan; Unal, Ethem; YÜCEL, Metin; OZPEK, ADNAN; Basak, Fatih

Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study

Metin YÜCEL, (Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul-Turkey)

Adnan ÖZPEK, (Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul-Turkey)

Huseyin Kerem TOLAN, (Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul-Turkey)

Fatih BAŞAK, (Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul-Turkey)

Gürhan BAŞ, (Department of General Surgery, Medeniyet University Faculty of Medicine, İstanbul-Turkey)

Ethem ÜNAL, (Department of General Surgery, Medeniyet University Faculty of Medicine, İstanbul-Turkey)

Orhan ALİMOĞLU (Department of General Surgery, Ümraniye Training and Research Hospital, İstanbul-Turkey)

Ulusal Travma ve Acil Cerrahi Dergisi

4 0

Yıl: 2017 Cilt: 23 Sayı: 2 Sayfa Aralığı: 107 - 111 Metin Dili: İngilizce İndeks Tarihi: 29-07-2022

Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study

Öz:

BACKGROUND: Stab wounds in the left thoracoabdominal region may cause diaphragmatic injury. The aim of the present study was to determine incidence of diaphragmatic injury and role of diagnostic laparoscopy in detection of injury in patients with left thoracoabdominal stab wound.METHODS: Total of 81 patients (75 male, 6 female; mean age 27.5±9.8 years; range 14 to 60 years) who presented with left thoracoabdominal stab wound between April 2009 and September 2014 were evaluated. Laparotomy was performed on patients who had hemodynamic instability, signs of peritonitis, or organ evisceration. Remaining patients were followed conservatively. After 48 hours, diagnostic laparoscopy was performed on patients without laparotomy indication to examine the left diaphragm for injury. Follow-up and treatment findings were prospectively evaluated.RESULTS: Thirteen patients underwent laparotomy while diagnostic laparoscopy was performed on remaining 68 patients. Left diaphragmatic injury was observed in 19 patients (23.5%) in the study group. Four injuries were diagnosed by laparotomy and 15 were diagnosed by laparoscopy. Presence of hemopneumothorax did not yield difference in incidence of diaphragmatic injury (p=0.131). No significant difference was detected in terms of diaphragmatic injury with respect to entry site of stab wound in the thoracoabdominal region (p=0.929).CONCLUSION: It is important to evaluate the diaphragm in left thoracoabdominal stab injuries, and diagnostic laparoscopy is still the safest and most feasible method

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	YÜCEL M, OZPEK A, TOLAN H, Basak F, BAŞ G, Unal E, Alimoglu O (2017). Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. , 107 - 111.
Chicago	YÜCEL Metin,OZPEK ADNAN,TOLAN Huseyin Kerem,Basak Fatih,BAŞ Gürhan,Unal Ethem,Alimoglu Orhan Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. (2017): 107 - 111.
MLA	YÜCEL Metin,OZPEK ADNAN,TOLAN Huseyin Kerem,Basak Fatih,BAŞ Gürhan,Unal Ethem,Alimoglu Orhan Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. , 2017, ss.107 - 111.
AMA	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. . 2017; 107 - 111.
Vancouver	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. . 2017; 107 - 111.
IEEE	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O "Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study." , ss.107 - 111, 2017.
ISNAD	YÜCEL, Metin vd. "Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study". (2017), 107-111.

APA	YÜCEL M, OZPEK A, TOLAN H, Basak F, BAŞ G, Unal E, Alimoglu O (2017). Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal Travma ve Acil Cerrahi Dergisi, 23(2), 107 - 111.
Chicago	YÜCEL Metin,OZPEK ADNAN,TOLAN Huseyin Kerem,Basak Fatih,BAŞ Gürhan,Unal Ethem,Alimoglu Orhan Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal Travma ve Acil Cerrahi Dergisi 23, no.2 (2017): 107 - 111.
MLA	YÜCEL Metin,OZPEK ADNAN,TOLAN Huseyin Kerem,Basak Fatih,BAŞ Gürhan,Unal Ethem,Alimoglu Orhan Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal Travma ve Acil Cerrahi Dergisi, vol.23, no.2, 2017, ss.107 - 111.
AMA	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(2): 107 - 111.
Vancouver	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study. Ulusal Travma ve Acil Cerrahi Dergisi. 2017; 23(2): 107 - 111.
IEEE	YÜCEL M,OZPEK A,TOLAN H,Basak F,BAŞ G,Unal E,Alimoglu O "Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study." Ulusal Travma ve Acil Cerrahi Dergisi, 23, ss.107 - 111, 2017.
ISNAD	YÜCEL, Metin vd. "Importance of diagnostic laparoscopy in the assessment of the diaphragm after left thoracoabdominal stab wound: A prospective cohort study". Ulusal Travma ve Acil Cerrahi Dergisi 23/2 (2017), 107-111.