| Popis: |
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. Materials and Methods: 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). Conclusions: 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 |
