• Jeremy J Johnson, Tabitha Garwe, Alexander R Raines, Joseph B Thurman, Sandra Carter, Jeffrey S Bender, and Roxie M Albrecht.
• Department of Surgery, University of Oklahoma College of Medicine, 920 Stanton L. Young Blvd, WP 2140, Oklahoma City, OK 73104, USA. Jeremy-j-johnson@ouhsc.edu
• Am. J. Surg. 2013 Mar 1; 205 (3): 317-20; discussion 321.

BackgroundDiagnostic laparoscopy (DL) has decreased the rate of nontherapeutic laparotomy for patients suffering from penetrating injuries. We evaluated whether DL similarly lowers the rate of nontherapeutic laparotomy for patients with blunt injuries.MethodsAll patients undergoing DL over a 10-year period (ie, 2001-2010) in a single level 1 trauma center were classified by the mechanism of injury. Demographic and perioperative data were compared using the Student t and Fisher exact tests.ResultsThere were 131 patients included, 22 of whom sustained blunt injuries. Patients suffering from blunt injuries were more severely injured (Injury Severity Score 18.0 vs 7.3, P = .0001). The most common indication for DL after blunt injury was a computed tomographic scan concerning for bowel injury (59.1%). The rate of nontherapeutic laparotomy for patients sustaining penetrating vs blunt injury was 1.8% and nil, respectively.ConclusionsDL, when coupled with computed tomographic findings, is an effective tool for the initial management of patients with blunt injuries.Copyright © 2013 Elsevier Inc. All rights reserved.

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