Diagnostic peritoneal lavage (DPL) or diagnostic peritoneal aspiration (DPA) is a surgical diagnostic procedure to determine if there is free floating fluid (most often blood) in the abdominal cavity.

Jul 24, 2023 · The optimal test should be rapid, accurate, and non-invasive. Historically, providers performed diagnostic peritoneal lavage (DPL) to detect hemoperitoneum. While extremely sensitive (96% to 99%) and specific (98%), DPL is an invasive procedure with a complication rate of 1% [4],[5], [6].

Diagnostic peritoneal lavage (DPL) is an invasive emergency procedure used to detect hemoperitoneum and help determine the need for laparotomy following abdominal trauma. A catheter is inserted into the peritoneal cavity, followed by aspiration of intraperitoneal contents, often after their dilution with crystalloid.

Focused Assessment Sonography for Trauma (FAST) being non invasive should be the first step in assessment of patients with blunt abdominal trauma, when complimented by DPL may helps in defining the organ injury.

DPL is 100% accurate for intra-abdominal injury in hemodynamically unstable patients, whereas FAST is positive only 45% of the time. However, DPL also takes 10-15 minutes, and the patient...

诊断性腹膜灌洗 (DPL) 是一种侵入性紧急程序，用于检测腹腔积血并帮助确定腹部创伤后是否需要进行剖腹手术。 将导管插入腹腔，然后抽吸腹腔内容物，通常是在用晶体稀释后。 DPL 是一种快速进行的床边手术，使用简单的设备可以检测腹膜积血或腹膜内内容物。 然而，在进行 CT 扫描和检查的机构中，很少采用 DPL 来检测腹内出血。 创伤超声检查扩展重点评估 (E-FAST) 可用。 诊断性腹腔灌洗（DPL）特异性低，可识别许多引起出血但不需要手术修复的病变，导致剖腹探 …

Diagnostic peritoneal lavage (DPL) is a rapid and accurate diagnostic procedure that identifies the presence of intraabdominal bleeding after trauma and can be performed in the emergency room. The preferred technique implies an open or semiopen approach through the infraumbilical line.

DPL is indicated to diagnose suspected internal abdominal injury when ultrasound machine is not available, there is no trained person to perform FAST, or the results of FAST are equivocal or difficult to interpret in a haemodynamically unstable patient.

Focused Assessment Sonography for Trauma (FAST) being non invasive should be the first step in assessment of patients with blunt abdominal trauma, when complimented by DPL may helps in defining the organ injury.

Jun 3, 2006 · FAST is useful as the initial diagnostic tool for abdominal trauma to detect intraabdominal fluid. With proper training and understanding the limitations of ultrasound, the results of FAST can be optimized. DPL is indicated to diagnose suspected internal abdominal injury when ultrasound machine is n …