indications

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indications

Author

4 Posts

hasan82
Forum Junior

Topics: 13
Posts: 37

09/02/08 - 07:43 PM

indication of exploratory laporotomy vs DPL

please explain

Eagle_303
Forum Guru

Topics: 77
Posts: 655

09/02/08 - 10:58 PM

After trauma if

-Shock with sign/Symptoms of Peritonitis
-Shock with abdominal injury not improving with Sufficient fluids

Are definite indications of straightforward laprotomy.

nightflight1945
banned

Topics: 32
Posts: 920

09/06/08 - 12:34 AM

practically the only indication of DPL these days is in instable (but not in shock) patient in which we are not sure the reason for low BP is intra-abdominal hem , also sometimes it may be used for Dx of hollow organ rupture when other tests are inconclusive in a stable patient .It is done bedside and in instable patient in OR.

In stable patient always go for CT.

In patient in shock with no other source of Hem or peritonitis go directly for laparotomy.

gunshot ---------> always laparotomy even in stable patient

lampard
Forum Junior
avatar

Topics: 8
Posts: 95

10/10/08 - 01:45 PM

SURE PERFORATION : exploratory lap (gunshot)

NOT SURE IF PATIENT BLED INTO ABDO WITH UNSTABLE PATIENT : DPL or sono

NOT SURE IF PATIENT BLED INTO ABDO WITH STABLE PATIENT : CT

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