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hasan82 Forum Senior Topics: 17 Posts: 74	Sep 02, 2008 - 5:43 PM       #1 indication of exploratory laporotomy vs DPL please explain
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Eagle_303 Forum Guru Topics: 77 Posts: 646	Sep 02, 2008 - 8:58 PM       #2 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: 873	Sep 05, 2008 - 10:34 PM       #3 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 Senior Topics: 8 Posts: 105	Oct 10, 2008 - 11:45 AM       #4 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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