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June 1992

Laparoscopic Evaluation of Tangential Abdominal Gunshot Wounds

Author Affiliations

Denver, Colo

Arch Surg. 1992;127(6):747. doi:10.1001/archsurg.1992.01420060127020

To the Editor.—I read with considerable interest the report by Sosa and colleagues1 on the laparoscopic evaluation of abdominal gunshot wounds in six patients. In their discussion, they state that laparoscopy has previously either not been recommended or been considered to be contraindicated for gunshot wounds. I would draw their attention to its previous successful use without general anesthesia in a self-inflicted tangential gunshot wound of the left upper quadrant of the abdomen in a 33-year-old woman who was thus spared a fruitless laparotomy.2 That the advent of laparoscopic cholecystectomy has finally drawn the attention of general surgeons to the enormous potential of laparoscopy is warmly welcomed. A handful of us have been preaching this for years. It is a sad reflection on our profession that it took pressure from our patients and the fear of the loss of cholecystectomy from our practices to open our eyes

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