A 30 year male receive Blunt Abdomen Trauma. The Incision Is Best Done Through?
|C||Depends on organ involved|
|D||Depends on the severity of hemorrhage|
a. Exploratory laparotomy is a method of abdominal exploration, a diagnostic tool that allows surgeon to examine the abdominal organs.
b. The procedure may be recommended for a patient who has abdominal pain of unknown origin or who has sustained an injury to the abdomen.
c. Injuries may occur as a result of blunt trauma (e.g., road traffic accident) or penetrating trauma (e.g., stab or gunshot wound)
d. INCISIONS FOR BLUNT INJURIES Aim to get inside the patient’s abdomen fast; you can tie bleeding vessels in his abdominal wall later.
e. If the injury is in the patient’s lower left chest, and the signs indicate a ruptured spleen, make a left upper paramedian incision.
f. If exposure is inadequate, extend it towards his left costal margin.Usually midline incision is preferred but it may vary depending on particular organ involved.