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  • Title: [Celioscopic exploration in polytrauma with neurosurgical component].
    Author: Köszeghi I, Dobrin N, Ianovici N.
    Journal: Rev Med Chir Soc Med Nat Iasi; 2008; 112(3):676-81. PubMed ID: 20201252.
    Abstract:
    UNLABELLED: Caelioscopic surgery has been introduced in the medical practice for only two decades and imposed as a method due to its multiple advantages, expanding its application to therapy and exploration. If, initially the traumatic pathology of the abdomen has been used, this paper proposes the expansion of this method in polytraumatisms with neuralsurgical components, and not only. MATERIAL AND METHOD: This paper presents a study made on 67 cases with the Emergency Hospital of Piatra Neamt, of which 22 patients (33%) after the caelioscopic exploration requested surgical intervention. RESULTS: In 26 cases we have limited to caelioscopic exploration and eventually, peritoneal drainage, and 19 cases have only been monitored. Thus it is covered a segment of pathology to which paraclinical exploration, respectively abdominal echography and CT, does not provide a certain diagnosis in post-traumatic abdominal lesions. This method is relatively easy for a general surgeon and can be successfully applied in neural-surgical lesion associations, within a good cooperation of guard teams and much better within a polytraumatic centre. This is how morbidity and even mortality can be significantly reduces.
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