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2018, Number 3

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Rev Med MD 2018; 9.10 (3)

Minimal invasion surgery in pediatric trauma

Trujillo-Ponce SA, Damián-Negrete RM, Plascencia-Alonso M, Manuel-Jacobo A, Carrillo LM, Vazquez-Acosta HK, Heredia-Morán CA, Tatengo-Rodríguez N, Jiménez-Uribe M, Partido-Ramírez A, González-Delgado ML

Language: Spanish
References: 24
Page: 250-255
PDF size: 664.05 Kb.


ABSTRACT

Laparotomy and thoracotomy are the gold standard for the treatment of polytraumatized pediatric patients, however, the role of minimally invasive surgery (MIS) is still not well determined, being indicated as a diagnostic and therapeutic tool in the patient with hemodynamic stability . The following study is carried out in order to report the experience in the application of the MIS in a series of polytraumatized pediatric cases. We report 4 cases with closed and penetrating abdominal thorax trauma resolved by MIS. Two laparoscopies and two diagnostic and therapeutic thoracoscopy were performed; with a favorable evolution. The application of MIS in the polytraumatized patient is based on hemodynamic stability, with a sensitivity of up to 100%, reducing non-therapeutic laparotomies by 60%. Hemodynamic stability and other factors are decisive for the successful use of MIS in pediatric trauma.


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