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  • Title: Laparoscopy in the diagnosis of blunt and penetrating injuries to the abdomen.
    Author: Gazzaniga AB, Stanton WW, Bartlett RH.
    Journal: Am J Surg; 1976 Mar; 131(3):315-8. PubMed ID: 130806.
    Abstract:
    Laparoscopy was evaluated in thirty-seven patients from a group of 132 consecutive patients who were treated for blunt or penetrating injury to the abdomen. A total of twenty-three patients underwent laparoscopy and laparotomy. The findings at laparotomy correlated with laparoscopy. Fourteen patients underwent laparoscopy only, and there were no proved false-negative results. Of the 132 patients considered for laparotomy, 118 underwent abdominal exploration. Laparotomy was considered unnecessary in twenty-five of the 118 patients (21 per cent) and in retrospect, laparoscopy could have identified in each patient the presence of a minor injury or no injury at all. Laparoscopy is a useful method for evaluating blunt and penetrating injuries to the abdomen in selected patients.
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