Role of diagnostic laparoscopy in blunt abdominal trauma

Amutha, P; Pu, Abinayaa; Harikumar, Aswathy; Lakshmi, Sree

doi:10.33545/surgery.2021.v5.i1f.633

Cited by 2 publications

(3 citation statements)

References 8 publications

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“…Another study by Memon et al, [10] , investigating the role of laparoscopy in blunt abdominal trauma, the mechanism of patients with blunt abdominal trauma injury included motor vehicle collision in 15 (46.8%) patients, fall from height in 5 (15.6%), assault in 3 (9.37%) and automobile pedestrian accident in 9 (28.12%) patients. Also, Amutha et al, [7] said in their study that the most commonmechanism of injury was motor vehicle collision which occurred in about 13 individuals (43%). It was followed by automobile pedestrian injury in 7 individuals (23%).…”

Section: Discussionmentioning

confidence: 98%

“…The appropriate treatment for patients with blunt abdominal trauma depends on a precise diagnosis of the presence and severity of intraabdominal injuries [7] . Other than physical examination, various diagnostic methods, including abdominal ultrasound, diagnostic peritoneal lavage, and computed tomography (CT), are used for the evaluation of patients with blunt abdominal trauma [8] .…”

Section: Introductionmentioning

confidence: 99%

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The Value of Laparoscopy in Patients with Blunt Abdominal Injuries: Observational Prospective Study

FOUAD¹,

HEFNY

2022

The Medical Journal of Cairo University

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Background: Laparoscopy combines the advantages of diagnosis & treatment in single procedure with least morbidity. In addition, Laparoscopy can be beneficial in avoiding negative laparotomy. Patients are likely to have less postoperative pain and bedis charged from hospital and return to activities and routine work sooner than those who have under gonelaparotomy. Aim of Study:To determine feasibility, safety & effectiveness of laparoscopy as a diagnostic & therapeutic modality in patients with blunt abdominal trauma. Patients and Methods:This study is observational prospective study, was conducted on 30 patients with blunt abdominal trauma in Emergency room of in El-Mabaraa Health Insurance Hospital, Assuit General Hospital and El-Eman General Hospital. Patients were divided into two groups: (Group A): Included 16 patients underwent laparoscopy, (Group B): Included 14 patients underwent laparotomy.Results: Pain score six hours after operation on visual analogue score in group A ranged from 1 to 6 and the mean ± SD was 2.63 ± 1.78, while in group B ranged from 2 to 7 and the mean ± SD was 4.21 ± 1.37. There was statistically significant decrease in operative time and post operative pain and complications in laparoscopy group compared to laparotomy group (p<0.001). There was statistically significant increase in patient satisfaction level with the scar and outcome in group A than group B. Conclusion:Laparoscopy constitutes a safe and feasible procedure for the diagnosis and treatment of blunt abdominal trauma (BAT) and can be the first choice with no increase in postoperative complications.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

The Value of Laparoscopy in Patients with Blunt Abdominal Injuries: Observational Prospective Study

FOUAD¹,

HEFNY

2022

The Medical Journal of Cairo University

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“…Швидше відновлення хворих після втручання та менша вартість лапароскопії роблять її привабливішою та безпечнішою альтернативою традиційним відкритим методам діагностики та лікування [2,3,10].…”

Section: W͘k͘ 'ğƌăɛǉŵđśƶŭ͕ ͘S͘ Kɛăěđśƶŭ͕ ͘͘ Andŝƌă͕ ͘S͘ Wă|ůǉɛśǉŷunclassified

Video laparoscopy for closed abdominal trauma with liver and spleen damage

Gerasymchuk,

Osadchuk,

Fira

et al. 2023

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Open and closed abdominal trauma is the structure of traumatic injuries makes up from 1.5% to 36.5% of all injuries, accompanied in 26.7-40.8% of cases by liver and spleen damage. Damage to parenchymal organs of the abdominal cavity most often leads to the development of intra-abdominal bleeding, which is the basis of unsatisfactory results of treatment and death of patients. Among the diagnostic methods, video laparoscopy is becoming more and more important in finding the extent of damage to the internal organs of the abdominal cavity. In emergency cases as a minimally invasive but sufficiently informative research method, which in 20-60% of cases allows to supplement, clarify or change the diagnosis. The sensitivity of diagnostic laparoscopy in the case of damage to the organs of the abdominal cavity is 99-100%. Purpose - to study the role and place of video laparoscopy in the diagnosis and treatment of closed abdominal trauma with damage to the liver and spleen. Materials and methods. The results of using video laparoscopy in the diagnosis and treatment of closed abdominal trauma with isolated liver and spleen damage in 131 patients were retrospectively analyzed. The diagnostic search program included clinical, laboratory-biochemical, radiographic studies, ultrasound examination of the abdominal organs according to the FAST protocol, computed tomography, laparocentesis using a search catheter, diagnostic peritoneal lavage, laparoscopy, which were performed in a comprehensive examination according to indications. The obtained data are presented in the form of absolute (number of cases) and relative (%) values. The validity of laparoscopy was considered statistically significant at p˂0.05. Results. Video laparoscopy of the abdominal cavity in the case of a closed injury with isolated damage to parenchymal organs allows to diagnose the nature of the damage in the shortest possible time and to determine the treatment tactics. This method in the diagnosis of hemoperitoneum and injuries of the liver and spleen is informative (100%), sensitivity - 92.8%, specificity - 94.6%, at p<0.05. All laparoscopic operations for injuries of the liver and spleen were ended with a thorough revision, sanitation and drainage of the abdominal cavity. We did not observe complications related to endo-video surgery in this group of patients. There were no fatal consequences. This indicates that the use of minimally invasive laparoscopic methods of treatment in this group of patients helps to reduce the severity of surgical trauma and the frequency of various postoperative complications. Conclusions. Laparoscopy is a highly informative method of diagnosing intra-abdominal damage to the liver and spleen in case of closed abdominal trauma with the possibility of carrying out medical measures. It allows you to prevent and significantly reduce the frequency of postoperative complications, improve the results of treatment, and shorten the hospitalization period of the patients. In compliance of the above criteria, laparoscopy is a safe and adequate replacement for laparotomy as both a diagnostic and treatment intervention. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee of the participating institution. The informed consent of the patient was obtained for conducting the studies. No conflict of interests was declared by the authors.

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Role of diagnostic laparoscopy in blunt abdominal trauma

Cited by 2 publications

References 8 publications

The Value of Laparoscopy in Patients with Blunt Abdominal Injuries: Observational Prospective Study

The Value of Laparoscopy in Patients with Blunt Abdominal Injuries: Observational Prospective Study

Video laparoscopy for closed abdominal trauma with liver and spleen damage

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