Laparoscopic treatment of gastric and duodenal perforation in children after blunt abdominal trauma.
Minimal invasive surgery has not yet gained wide acceptation for the care of patients that sustained an abdominal trauma. We describe the complete laparoscopic surgical treatment of two patients after a single blunt abdominal trauma. One patient sustained a handle bar injury and presented with a gastric perforation. The other sustained a duodenal rupture by falling on a sharp edge of a table. The patients were assessed and treated laparoscopically. The perforations were identified and closed. Both patients had an uneventful postoperative recovery. Therapeutic laparoscopic treatment of patients with upper gastrointestinal perforation is feasible. We would recommend this approach to experienced laparoscopic surgeons in hemodynamically stable patients.
Department of Paediatric Surgery, KE.04.140.5, Wilhelmina Children's Hospital, University Medical Center Utrecht, PO Box 85090, 3508 AB Utrecht, The Netherlands. s.tytgat@umcutrecht.nl
S H A J
SH
Tytgat
S
S
Zwaveling
W L M
WL
Kramer
D C
DC
van der Zee
D000007:Abdominal Injuries / Q000150:complications / Q000503:physiopathology / Q000601:surgery*; D001642:Bicycling / Q000293:injuries; D002648:Child; D004386:Duodenum / Q000293:injuries / Q000503:physiopathology / Q000601:surgery*; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology / Q000503:physiopathology / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D016896:Treatment Outcome; D014949:Wounds, Nonpenetrating / Q000150:complications / Q000503:physiopathology / Q000601:surgery*