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Role of Diagnostic Laparoscopy in Abdominal Trauma
 
   


Tuesday 16 Feb 2016
The role of laparoscopy in diagnosis as well as therapeutic interventions has increased markedly in the last few years. In trauma, it has become a viable alternative for the diagnosis of intra-abdominal injury following penetrating and blunt trauma. The number of negative and/ or nontherapeutic laparotomies performed has decreased since the use of laparoscopy in diagnosis and management. Patients and methods: fifty patients with abdominal trauma 10 blunt trauma (BT), 40 penetrating trauma (PT) were selected from those attending the general surgery department of EL-MAADI MILITARY HOSPITAL during period from 1/1/2013 till 1/1/2015 using laparoscopy for diagnosis. All patients underwent a physical examination, ultrasound and computed tomography (abdomen and pelvis). Laparoscopy was used in the management of these patients through three trocars: one for 30° scope and two working trocars. Results: in our series, we avoided laparotomy in 64% (32/50) of cases. Therapeutic laparoscopy was effective in 25 patients: eight patients with splenic lacerations, seven with bowel injuries, five with liver lacerations, four with diaphragmatic injuries and one patient with stomach penetrations. Conclusion: Laparoscopy can be performed safely and effectively in stable patients with abdominal trauma
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