Authors :
Saroj SK; Pratap A; Singh PK; Ajem A; Mishra M; Bhartiya SK
Volume/Issue :
Volume 7 - 2022, Issue 8 - August
Google Scholar :
https://bit.ly/3IIfn9N
Scribd :
https://bit.ly/3BBxRIC
DOI :
https://doi.org/10.5281/zenodo.7073457
Abstract :
Trauma is considered as one of the leading and
preventable cause of death in young adults and its incidence
is on a steady rise. Laparoscopy as an alternative has been
used with great benefits, although the rate of nontherapeutic laparotomy still remains high. The present
study was aimed for assessing the efficacy of laparoscopy in
the cases of abdominal trauma of any kind and to assess the
primary outcome as avoiding unnecessary laparotomy and
secondary outcome in the terms of hospital stay and overall
prognosis.
This study was conducted as a prospective
interventional study on all abdominal trauma patients
reporting at Trauma Centre, and Super Specialty Hospital,
BHU, Varanasi from July, 2017 through June, 2019. All
selected patients underwent the laparoscopic exploration if
required then converted to laparotomy.
Result:
Fifty-two patients with abdominal trauma considered
and underwent laparoscopic exploration in 25 (48.9%) and
converted to laparotomy in 27 (52.1%) patients. This lead
to a reduction of non-therapeutic laparotomy in patients
with abdominal trauma using diagnostic laparoscopy was
up to 23%. However, laparotomy was avoided in 48.9% of
cases. In our study, laparoscopy was 100% accurate in
identifying the site and organ of injuries. The laparotomy
group had significantly higher rates of SSI and chest
infection (p.01). The mean length of hospital stay in the
laparoscopy group was 4.72 days and in the laparotomy
group was 9.81 days (p 0.001).
Laparoscopy seems a useful and safe tool for the
management of hemodynamically stable patients with
abdominal trauma of any kind and can reduce the risk of
non-therapeutic laparotomy and its associated
postoperative complications.
Keywords :
Laparoscopy, Prospective Study, Abdominal Trauma, Uncertain Abdomen
Trauma is considered as one of the leading and
preventable cause of death in young adults and its incidence
is on a steady rise. Laparoscopy as an alternative has been
used with great benefits, although the rate of nontherapeutic laparotomy still remains high. The present
study was aimed for assessing the efficacy of laparoscopy in
the cases of abdominal trauma of any kind and to assess the
primary outcome as avoiding unnecessary laparotomy and
secondary outcome in the terms of hospital stay and overall
prognosis.
This study was conducted as a prospective
interventional study on all abdominal trauma patients
reporting at Trauma Centre, and Super Specialty Hospital,
BHU, Varanasi from July, 2017 through June, 2019. All
selected patients underwent the laparoscopic exploration if
required then converted to laparotomy.
Result:
Fifty-two patients with abdominal trauma considered
and underwent laparoscopic exploration in 25 (48.9%) and
converted to laparotomy in 27 (52.1%) patients. This lead
to a reduction of non-therapeutic laparotomy in patients
with abdominal trauma using diagnostic laparoscopy was
up to 23%. However, laparotomy was avoided in 48.9% of
cases. In our study, laparoscopy was 100% accurate in
identifying the site and organ of injuries. The laparotomy
group had significantly higher rates of SSI and chest
infection (p.01). The mean length of hospital stay in the
laparoscopy group was 4.72 days and in the laparotomy
group was 9.81 days (p 0.001).
Laparoscopy seems a useful and safe tool for the
management of hemodynamically stable patients with
abdominal trauma of any kind and can reduce the risk of
non-therapeutic laparotomy and its associated
postoperative complications.
Keywords :
Laparoscopy, Prospective Study, Abdominal Trauma, Uncertain Abdomen
