Laparoscopic management of retroperitoneal injuries from penetrating abdominal trauma in haemodynamically stable patients.

Background: Laparoscopy is increasingly utilised in the trauma setting. However, its safety and reliability in evaluating and managing retroperitoneal injuries are not known.

Aim: The aim of this study was to analyse our experience with laparoscopic management of retroperitoneal injuries due to penetrating abdominal trauma (PAT) and to investigate its feasibility, safety and accuracy in haemodynamically stable patients.

The use of laparoscopy in managing penetrating thoracoabdominal injuries in Africa: 83 cases reviewed.

Background: The use of laparoscopy in managing haemodynamically stable patients with penetrating thoracoabdominal injuries in developed countries is wildly practiced, but in Africa, the use of laparoscopy is still in its infancy stage. We reviewed a single centre experience in using laparoscopy in Africa for management of patients with both isolated diaphragmatic injuries as well as diaphragmatic injuries associated with intra-abdominal injuries requiring intervention.

Methods: A retrospective analysis of prospectively collected data of patients presenting with penetrating thoracoabdominal injuries was done.