Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds
Aim: Single incision diagnostic laparoscopy (SIDL) may be an alternative procedure to multi-incision diagnostic laparoscopy (MDL) for penetrating thoracoabdominal stab wounds. The purpose of this study is sharing our experience and comparing two techniques for diaphragmatic status. Materials and Met...
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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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Series: | Journal of Minimal Access Surgery |
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Online Access: | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=1;spage=13;epage=17;aulast=Ilhan |
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author | Mehmet Ilhan Ali Fuat Kaan Gök Süleyman Bademler Ömer Cenk Cücük Yiğit Soytaş Hakan Teoman Yanar |
author_facet | Mehmet Ilhan Ali Fuat Kaan Gök Süleyman Bademler Ömer Cenk Cücük Yiğit Soytaş Hakan Teoman Yanar |
author_sort | Mehmet Ilhan |
collection | DOAJ |
description | Aim: Single incision diagnostic laparoscopy (SIDL) may be an alternative procedure to multi-incision diagnostic laparoscopy (MDL) for penetrating thoracoabdominal stab wounds. The purpose of this study is sharing our experience and comparing two techniques for diaphragmatic status. Materials and Methods: Medical records of 102 patients with left thoracoabdominal penetrating stab injuries who admitted to Istanbul School of Medicine, Trauma and Emergency Surgery Clinic between February 2012 and April 2016 were examined. The patients were grouped according to operation technique. Patient records were retrospectively reviewed for data including, age, sex, length of hospital stay, diaphragm injury rate, surgical procedure, operation time and operation time with wound repair, post-operative complications and accompanying injuries. Results: The most common injury location was the left anterior thoracoabdomen. SIDL was performed on 26 patients. Nine (34.6%) of the 26 patients had a diaphragm injury. Seventy-six patients underwent MDL. Diaphragmatic injury was detected in 20 (26.3%) of 76 patients. The average operation time and post-operative complications were similar; there was no statistically significant difference between MDL and SIDL groups. Conclusion: SIDL can be used as a safe and feasible procedure in the repair of a diaphragm wounds. SIDL may be an alternative method in the diagnosis and treatment of these patients. |
first_indexed | 2024-04-12T13:53:02Z |
format | Article |
id | doaj.art-43ed4e424cbd4343b33496c8cecc0452 |
institution | Directory Open Access Journal |
issn | 0972-9941 1998-3921 |
language | English |
last_indexed | 2024-04-12T13:53:02Z |
publishDate | 2017-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Journal of Minimal Access Surgery |
spelling | doaj.art-43ed4e424cbd4343b33496c8cecc04522022-12-22T03:30:27ZengWolters Kluwer Medknow PublicationsJournal of Minimal Access Surgery0972-99411998-39212017-01-01131131710.4103/0972-9941.194975Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab woundsMehmet IlhanAli Fuat Kaan GökSüleyman BademlerÖmer Cenk CücükYiğit SoytaşHakan Teoman YanarAim: Single incision diagnostic laparoscopy (SIDL) may be an alternative procedure to multi-incision diagnostic laparoscopy (MDL) for penetrating thoracoabdominal stab wounds. The purpose of this study is sharing our experience and comparing two techniques for diaphragmatic status. Materials and Methods: Medical records of 102 patients with left thoracoabdominal penetrating stab injuries who admitted to Istanbul School of Medicine, Trauma and Emergency Surgery Clinic between February 2012 and April 2016 were examined. The patients were grouped according to operation technique. Patient records were retrospectively reviewed for data including, age, sex, length of hospital stay, diaphragm injury rate, surgical procedure, operation time and operation time with wound repair, post-operative complications and accompanying injuries. Results: The most common injury location was the left anterior thoracoabdomen. SIDL was performed on 26 patients. Nine (34.6%) of the 26 patients had a diaphragm injury. Seventy-six patients underwent MDL. Diaphragmatic injury was detected in 20 (26.3%) of 76 patients. The average operation time and post-operative complications were similar; there was no statistically significant difference between MDL and SIDL groups. Conclusion: SIDL can be used as a safe and feasible procedure in the repair of a diaphragm wounds. SIDL may be an alternative method in the diagnosis and treatment of these patients.http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=1;spage=13;epage=17;aulast=IlhanDiaphragm injurylaparoscopymulti-incision diagnostic laparoscopysingle incision diagnostic laparoscopysingle incision laparoscopic surgerythoracoabdominal penetrating wound |
spellingShingle | Mehmet Ilhan Ali Fuat Kaan Gök Süleyman Bademler Ömer Cenk Cücük Yiğit Soytaş Hakan Teoman Yanar Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds Journal of Minimal Access Surgery Diaphragm injury laparoscopy multi-incision diagnostic laparoscopy single incision diagnostic laparoscopy single incision laparoscopic surgery thoracoabdominal penetrating wound |
title | Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
title_full | Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
title_fullStr | Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
title_full_unstemmed | Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
title_short | Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
title_sort | comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds |
topic | Diaphragm injury laparoscopy multi-incision diagnostic laparoscopy single incision diagnostic laparoscopy single incision laparoscopic surgery thoracoabdominal penetrating wound |
url | http://www.journalofmas.com/article.asp?issn=0972-9941;year=2017;volume=13;issue=1;spage=13;epage=17;aulast=Ilhan |
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