Emanuela S Alvarenga, MD, Shlermine Aupont, MD, Wade Douglas, MD, FACS, Alexander Ramirez, MDFACS. Florida State University
This video presents a diagnostic and therapeutic approach utilizing laparoscopy for blunt abdominal trauma as a safe and effective management in hemodynamically stable patients. Depicted is a 45 year old female who was brought the Emergency Department after a single vehicle collision. Upon arrival, she was hemodynamically stable with only mild tachycardia on presentation. On physical exam, there was an obvious seat belt sign and clear signs of peritoneal irritation. Further work up with CT scan of pelvis and abdomen revealed moderate amount of free fluid in the pelvis. Decision was made to take patient to the OR for a diagnostic laparoscopy with possible therapeutic repair. Intraoperatively, after systematic evaluation of the abdominal cavity, we were able to appreciate two minor lacerations in the mesentery of the small bowel and an extensive, approximately 15 cm long, through-and-through mesenteric defect of the jejunum, this was successfully repaired with vicryl sutures after control of the mesenteric bleeding. In addition, effective evacuation and washout of hemoperitoneum were performed, there were no associated injuries appreciated. Patient tolerated procedure well, with no intra or post operative complications.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 87427
Program Number: V253
Presentation Session: Friday Video Loop (Non CME)
Presentation Type: VideoLoop