Role of laparoscopy in the management of abdominal trauma

摘要

Objective : The aim of the work i s to study the feasibility, the advantages and the disadvantages of laparoscopy in diagnosis and treatment of abdominal trauma. Background: The role of laparoscopy in diagnosis and treatment of abdominal trauma has increased markedly in the last few years. Since the use of laparoscopy in diagnosis and management of abdominal trauma the number of negative and/ or nontherapeutic laparotomies performed has decreased. Patients and methods: Thirty patients with abdominal trauma 11 blunt traumas (BT), 19 penetrating trauma (PT) were treated by the Trauma Team at the Emergency Units of Menofyia University and Maadi Military Hospital from January 2014 to May 2016 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 66.6% (20/30) of cases. Negative and non-therapeutic laparoscopies four patients and therapeutic laparoscopy was performed in ten patients; six patients hand assisted splenectomy, three patients need repair of liver tears, three patients need diaphragmatic tear repair, six patients need primary repair for bowel and two patients need stomach repair. Conclusion: Laparoscopy can be performed in management of stable patients with abdominal trauma safely and effectively.