Affiliation:
1. Senior Resident, Department of Gen.surgery, IGIMS, PATNA
Abstract
Explorative laparotomy has been the mainstay of management in patients with blunt abdominal trauma . The advantage of laparoscopy is that it can
provide both diagnostic and therapeutic interventions for those hemodynamically stable abdominal trauma patients.
Methods: 30 patients of blunt trauma abdomen were retrospectively studied for whom laparoscopic intervention was done.
Results: In our study 30 patients with abdominal trauma were included of which 22 (76%) had penetrating trauma and 8 had blunt trauma (24%).
Among penetrating trauma, seven patients (31.8%) underwent therapeutic laparoscopy whereas diagnostic laparoscopy was done for 10 patients
(45.5%).
Conclusions: Laparoscopy can be safely performed in haemodynamically stable patients of abdominal trauma for both diagnostic and therapeutic
purposes and can help in avoiding the negative laparotomies.