J Med Life Sci > Volume 16(1); 2019 > Article
Journal of Medicine and Life Science 2019;16(1):13-16.
DOI: https://doi.org/10.22730/jmls.2019.16.1.13    Published online May 10, 2019.
Extracorporeal repairs of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in patients with small bowel perforations after blunt trauma: A case report
Youngro Yang, Kwang Sig Kim
General Surgery, Seogwipo Medical Center
General Surgery, Jeju Medical Center
Correspondence:  Kwang Sig Kim, Email: phagophil@naver.com
Abstract
In a patient with blunt abdominal trauma with small bowel injury, early diagnosis is clinically challenging due to unclear clinical symptoms and signs in the early stage of an injury. On the other hand, a delay of diagnosis of bowel disruption may lead to increased complication and mortality. The diagnostic laparoscopy is very useful for the evaluation of the small bowel injury. Laparoscopy can reduce unnecessary open surgery in a patient with blunt abdominal trauma with subtle symptoms and imprecise findings on abdominal computed tomography. Also it can prevent delay of treatment and be converted immediately to open surgery as soon as bowel damage is revealed. Furthermore, extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with traumatic small bowel perforation was a feasible and safe alternative to conventional laparoscopy. We are pleased to introduce successfully treated cases by extracorporeal repair of small bowel via mini-laparotomy after a single incision diagnostic laparoscopy in a patient with small bowel perforation after blunt trauma.
Key Words: blunt, trauma, diagnostic, laparotomy, laparoscopy
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