Minimally invasive surgery in trauma: technology looking for an application

Injury. 2004 May;35(5):474-8. doi: 10.1016/j.injury.2003.07.002.

Abstract

Background: Minimally invasive surgery has achieved pre-eminence for certain operations in general surgery over the last two decades, as the reduction in surgical insult has produced faster recovery with enhanced patient satisfaction and favourable health economics. Minimally invasive techniques have been less enthusiastically adopted by the trauma surgical community, despite some evidence of efficacy for nearly 40 years.

Methods: The literature on minimally invasive techniques in trauma was reviewed.

Results and conclusions: To date, minimally invasive surgery has played only a small role in trauma surgery. As clearer indications emerge and technology improves, surgeons should be encouraged to incorporate laparoscopy and video-assisted thoracoscopy (VATS) into their protocols and gain familiarity and expertise with their use.

Publication types

  • Review

MeSH terms

  • Diffusion of Innovation
  • Health Care Costs
  • Humans
  • Laparoscopy
  • Minimally Invasive Surgical Procedures / economics
  • Minimally Invasive Surgical Procedures / methods*
  • Thoracic Surgery, Video-Assisted
  • Wounds and Injuries / economics
  • Wounds and Injuries / surgery*