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2008, Number 3

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Rev Mex Cir Endoscop 2008; 9 (3)

Is the hand assisted laparoscopy a safe option in closure trauma of colon? A case report and literature review

Hernández VFX, Cosme RC, Guerrero GVH, Belmonte MC

Language: Spanish
References: 18
Page: 139-142
PDF size: 150.07 Kb.


ABSTRACT

The management of colon trauma is still controversial although the changes in the approach since World War II where derivative surgery was imperative, to resection and primary repair. At this moment there are established guides for the approach and management of colon trauma. The colon is the second most frequently injured organ after penetrating abdominal trauma, but is involved in less than 5% of blunt trauma patients. In trauma Hand assisted laparoscopic surgery (HALS) offers all the advantages of open surgery as tactile sensation and proprioception of the abdominal cavity, reducing the number of false negatives. We present the case of a 24 years old male, who suffered a blunt trauma secondary to a car accident, presenting sigmoid colon trauma with a II in the AIS scale and without other organ injury. The patient was taken to the operating room where we did resection and primary repair. We describe the surgical management and discuss the role of HALS at this moment in colon trauma.


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