• Skip to main content
  • Skip to header right navigation
  • Skip to site footer

Log in
  • Search
    • Search All SAGES Content
    • Search SAGES Guidelines
    • Search the Video Library
    • Search the Image Library
    • Search the Abstracts Archive
www.sages.org

SAGES

Reimagining surgical care for a healthier world

  • Home
    • Search
    • SAGES Home
    • SAGES Foundation Home
  • About
    • Awards
    • Who Is SAGES?
    • Leadership
    • Our Mission
    • Advocacy
    • Committees
      • SAGES Board of Governors
      • Officers and Representatives of the Society
      • Committee Chairs and Co-Chairs
      • Committee Rosters
      • SAGES Past Presidents
  • Meetings
    • SAGES NBT Innovation Weekend
    • SAGES Annual Meeting
      • 2026 Scientific Session Call for Abstracts
      • 2026 Emerging Technology Call for Abstracts
    • CME Claim Form
    • SAGES Past, Present, Future, and Related Meeting Information
    • SAGES Related Meetings & Events Calendar
  • Join SAGES!
    • Membership Application
    • Membership Benefits
    • Membership Types
      • Requirements and Applications for Active Membership in SAGES
      • Requirements and Applications for Affiliate Membership in SAGES
      • Requirements and Applications for Associate Active Membership in SAGES
      • Requirements and Applications for Candidate Membership in SAGES
      • Requirements and Applications for International Membership in SAGES
      • Requirements for Medical Student Membership
    • Member Spotlight
    • Give the Gift of SAGES Membership
  • Patients
    • Join the SAGES Patient Partner Network (PPN)
    • Patient Information Brochures
    • Healthy Sooner – Patient Information for Minimally Invasive Surgery
    • Choosing Wisely – An Initiative of the ABIM Foundation
    • All in the Recovery: Colorectal Cancer Alliance
    • Find A SAGES Surgeon
  • Publications
    • Clinical / Practice / Training Guidelines, Statements, and Standards of Practice
    • Sustainability in Surgical Practice
    • SAGES Stories Podcast
    • Patient Information Brochures
    • Patient Information From SAGES
    • TAVAC – Technology and Value Assessments
    • Surgical Endoscopy and Other Journal Information
    • SAGES Manuals
    • MesSAGES – The SAGES Newsletter
    • COVID-19 Archive
    • Troubleshooting Guides
  • Education
    • Wellness Resources – You Are Not Alone
    • Avoid Opiates After Surgery
    • SAGES Subscription Catalog
    • SAGES TV: Home of SAGES Surgical Videos
    • The SAGES Safe Cholecystectomy Program
    • Masters Program
    • Resident and Fellow Opportunities
      • MIS Fellows Course
      • SAGES Robotics Residents and Fellows Courses
      • SAGES Free Resident Webinar Series
      • Fluorescence-Guided Surgery Course for Fellows
      • Fellows’ Career Development Course
    • SAGES S.M.A.R.T. Enhanced Recovery Program
    • SAGES @ Cine-Med Products
      • SAGES Top 21 Minimally Invasive Procedures Every Practicing Surgeon Should Know
      • SAGES Pearls Step-by-Step
      • SAGES Flexible Endoscopy 101
    • SAGES OR SAFETY Video Activity
  • Opportunities
    • Fellowship Recognition Opportunities
    • SAGES Advanced Flexible Endoscopy Area of Concentrated Training (ACT) SEAL
    • Multi-Society Foregut Fellowship Certification
    • Research Opportunities
    • FLS
    • FES
    • FUSE
    • Jobs Board
    • SAGES Go Global: Global Affairs and Humanitarian Efforts
  • OWLS/FLS
You are here: Home / Abstracts / LAPAROSCOPY FOR TRAUMATIC INJURY: A REVIEW OF CASES IN A LEVEL II TRAUMA CENTER

LAPAROSCOPY FOR TRAUMATIC INJURY: A REVIEW OF CASES IN A LEVEL II TRAUMA CENTER

Jorge Almodovar, MD, Ruby Skinner, MD, FACS, FCCP, FCCM, Andrea Pakula, MD, MPH, FACS. Kern Medical

INTRODUCTION: Minimally invasive surgery (MIS) is the standard approach for most of the surgical procedures performed by general surgeons. Traditionally the majority of operations for trauma are performed open due to the complexity of the cases, however, trauma surgeons are expanding their armamentarium to include MIS in a variety of acute procedures. We report our experience with the application of laparoscopy in a variety of trauma cases.

METHODS: A retrospective review of trauma cases performed between 1/2012- 1/2016. During that time 52 laparoscopic cases were performed after traumatic injury. Patient demographics, injury severity (ISS), injury mechanisms, the types of procedures and outcomes will be described. Means and standard deviations were calculated and t test were performed. A p value of <0.05 was statistically significant.

RESULTS:  Demographics- A total of 52 trauma cases were performed laparoscopically during the study period. The majority were male, n=43 and the age was 29 SD 11. Obesity was documented in 30%, hypertension or CAD was in 20%, and substance abuse was in 44%. Blunt trauma was in 35% and penetrating 65%. The ISS was 15 SD 9.

Surgical Procedures- The majority, 85%, of the procedures were completed laparoscopically.

Non-therapeutic laparoscopy was performed in 36%. Repair of diaphragmatic or traumatic abdominal wall hernias were 29%. Hematoma evacuation and control of bleeding was 15%. Control of solid organ bleeding and repair was performed in 11%. Intestinal repair occurred in 9%. For the cases that required open conversion ISS was 20 SD 7 vs. laparoscopic cases ISS was 12 SD 9, p=0.04.

OUTCOMES: The overall length of stay was 5 days SD 6. There was n=1 late death in a poly-trauma patient that required open conversion for complex solid organ and intestinal injuries. There was n=1 case of a community acquired pneumonia, and n=1 case of a recurrent pneumothorax.

CONCLUSIONS: A descriptive series of trauma operations approached with MIS techniques is described. This cohort had high injury severity and a predominance of comorbid conditions.  Laparoscopy was successfully applied in the majority of cases for a variety of therapeutic procedures and mortality and morbidity was low. MIS is safe and is gaining momentum for application in traumatic injury.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 87372

Program Number: P692

Presentation Session: iPoster Session (Non CME)

Presentation Type: Poster

78

Share this:

  • Click to share on X (Opens in new window) X
  • Click to share on Facebook (Opens in new window) Facebook
  • Click to share on LinkedIn (Opens in new window) LinkedIn
  • Click to share on Pinterest (Opens in new window) Pinterest
  • Click to share on WhatsApp (Opens in new window) WhatsApp
  • Click to share on Reddit (Opens in new window) Reddit
  • Click to share on Pocket (Opens in new window) Pocket
  • Click to share on Mastodon (Opens in new window) Mastodon
  • Click to share on Threads (Opens in new window) Threads
  • Click to share on Bluesky (Opens in new window) Bluesky

Related


sages_adbutler_leaderboard

Hours & Info

11300 West Olympic Blvd, Suite 600
Los Angeles, CA 90064

1-310-437-0544

[email protected]

Monday – Friday
8am to 5pm Pacific Time

Find Us Around the Web!

  • Bluesky
  • X
  • Instagram
  • Facebook
  • YouTube

Copyright © 2025 · SAGES · All Rights Reserved

Important Links

Healthy Sooner: Patient Information

SAGES Guidelines, Statements, & Standards of Practice

SAGES Manuals