True about indication of celliotomy in blunt trauma
Peritoneal air on imaging
Grade I spleen damage
Grade II liver damage
Patient with positive diagnostic lavage
Laprotomy is also called celiotomy. Indication for laprotomy in blunt trauma include signs of peritonitis, evisceration, clinical deterioration during observation & in the presence of hemodynamic instability as DPL or FAST examination consistent with hemoperitoneum. Peritoneal air on imaging is a sign of peritonitis and hence an indicaton. Reference: Greenfield&;s Surgery- Scientific Principles and practices, 5th edititon, Page no: 390-391
Trauma