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Laparoskopie beim Bauchtrauma

  • E. Eypasch
  • B. Bouillon
  • T. Tiling
  • H. Troidl
Conference paper
Part of the Deutsche Gesellschaft für Chirurgie book series (DTGESCHIR, volume 1994)

Zusammenfassung

Im deutschsprachigen Raum ist die Ultraschalluntersuchung eine etablierte Methode, um Patienten mit stumpfem Bauchtrauma zu untersuchen. Die häufigsten Verletzungen betreffen Leber und Milz. Die Laparoskopie beim Bauchtrauma ist in amerikanischen Trauma-Kliniken untersucht worden. Das Resümee dieser Studie ist, daß die Laparoskopie geeignet ist, Zwerchfellverletzungen zu diagnostizieren. Hohlorganverletzungen können nur in 50 % der Fälle erkannt werden. Die Laparoskopie ist nicht das geeignete diagnostische Screeninginstrument, um Patienten mit stumpfem Bauchtrauma zu untersuchen.

Schlüsselwörter

Laparoskopie Ultraschall Bauchtrauma 

Laparoscopy for Abdominal Trauma

Summary

In German-speaking countries, ultrasound is an established screening test for abdominal trauma. Liver and spleen injuries are the most frequent injuries. Laparoscopy for abdominal trauma has been evaluated in American trauma centers. The conclusion drawn from the studies is that laparoscopy is an ideal tool to detect diaphragmatic injuries. Hollow viscus perforations can only be detected in 50 % of cases. Laparoscopy is not yet an appropriate tool to screen or evaluate blunt abdominal trauma patients.

Key words

Laparoscopy Ultrasound Abdominal trauma 

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Copyright information

© Springer-Verlag Berlin Heidelberg 1994

Authors and Affiliations

  • E. Eypasch
    • 1
  • B. Bouillon
    • 1
  • T. Tiling
    • 1
  • H. Troidl
    • 1
  1. 1.II. Chirurgischer LehrstuhlKliniken der Stadt Köln-MerheimKölnDeutschland

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