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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Main Authors: Mehmet Ilhan, Ali Fuat Kaan Gök, Süleyman Bademler, Ömer Cenk Cücük, Yiğit Soytaş, Hakan Teoman Yanar
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
Series:Journal of Minimal Access Surgery
Subjects:
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.
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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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