Role of Laparoscope in Abdominal Trauma

  • Abdulrazzaq Kalaf Hassan college of medicine- university of kerbala

Abstract

Abstract :


Background: Use of laparoscope in trauma is in general limited for diagnostic purposes; we aim to evaluate the therapeutic role of laparoscopic surgery in trauma patients. Laparoscope could be safe and efficacious in treatment of patients with abdominal trauma.


 


Aims of the Study: To identify the following:



  1. Benefits of Laparoscope in Abdominal Trauma.

  2. Contraindications for Laparoscope in Trauma Patients.

  3. Indications for conversion (from laparoscopic to open approach).


 


Patient and methods: forty patients with abdominal trauma whether penetrating or blunt who were admitted to the casualty unit in Imam al-Hussein Medical City in Holy Karbala City from Jan 2016 to June 2016 and were diagnosed as a cases of acute abdomen by clinical examination base some were in shock state and unstable admitted immediately to theatre laparotomy was done to them other cases in shock but corrected  undergone surgery for different causes some of them undergone purely laparoscopic interference by laparoscopic device under the name (KARL STORZ—ENDOSKOPE) other patients undergone conversion for different causes.


 


Results: forty were included in a prospective study who were undergone surgical intervention either in form of traditional laparotomy or diagnostic laparoscopy eight (20%) of them undergone exclusive laparoscopic interference while nine (22.5%) undergone conversion , other twenty three (57.5%) undergone open approach.


Conclusions: From our study we concluded that:



  1. The laparoscope is an important tool in the management of blunt abdominal trauma.

  2. The laparoscope is a good preventive measure of nontherapeutic laparotomies.

  3. It’s important measure in diagnosing and even treating diaphragmatic injuries.

  4. Traumatic bowel injuries can be diagnosed and even treated by the laparoscope

  5. The presence of profuse hemorrhage make continue on laparoscopic approach is non judges.

References

1. RK Mishra. textbook of practical laparoscopic surgery, New Delhi, JAYPEE BROTHERS MEDICAL PUBLISHERS, 2013 : 325-328
2. Hori, Yumi. "Diagnostic laparoscopy guidelines." Surgical endoscopy 22.5 (2008): 1353-1383.
3. Wiewióra, Maciej, et al. "The role of laparoscopy in abdominal trauma-review of the literature." Wideochir Inne Tech Malo Inwazyjne 6.3 (2011): 121-6.
4. O’Malley, Eimer, et al. "Role of laparoscopy in penetrating abdominal trauma: a systematic review." World journal of surgery 37.1 (2013): 113-122
5. . Lim, Kyoung Hoon, et al. "Laparoscopic surgery in abdominal trauma: a single center review of a 7-year experience." World Journal of Emergency Surgery 10.1 (2015): 16.
6. El-Bendary, Yehia BA, Juhaina Al-Adawi, and Hani Al-Qadhi. "The use of laparoscopy in the management of trauma patients: Brief review." Sultan Qaboos University Medical Journal 16.1 (2016): e9.
7. Kawahara, Nilton Tokio, et al. "Standard examination system for laparoscopy in penetrating abdominal trauma." Journal of Trauma and Acute Care Surgery 67.3 (2009): 589-595.
8. Ilhan, Mehmet, et al. "Comparison of single incision and multi incision diagnostic laparoscopy on evaluation of diaphragmatic status after left thoracoabdominal penetrating stab wounds." Journal of Minimal Access Surgery 13.1 (2017): 13.
9. Yucel, Metin, et al. "Evaluation of diaphragm in penetrating left thoracoabdominal stab injuries: The role of multislice computed tomography." Injury 46.9 (2015): 1734-1737.
10. Norman S. Williams et al. Bailey and Love’s short practice of surgery 26th ed. , 6000 Broken Sound Parkway NW , Taylor & Francis Group , Version Date: 20121207 : p. 359
11. Uranüs, Selman, and Katrin Dorr. "Laparoscopy in abdominal trauma." European Journal of Trauma and Emergency Surgery 36.1 (2010): 19-24.
12. F. Charles Brunicardi et al. Schwartz’s Principles of Surgery, New York, McGraw-Hill Education, 2015: p. 181.
13. COURTNEY et al. sabiston textbook of surgery. Philadelphia , Saunders, an imprint of Elsevier Inc. ,2012 : p. 456
14. Lin, Heng-Fu, et al. "Laparoscopy decreases the laparotomy rate for hemodynamically stable patients with blunt hollow viscus and mesenteric injuries." The American Journal of Surgery 210.2 (2015): 326-333.
15. Gorecki, Piotr J., et al. "Diagnostic and therapeutic laparoscopy for trauma: a technique of safe and systematic exploration." Surgical Laparoscopy Endoscopy & Percutaneous Techniques 12.3 (2002): 195-198.
16. Yucel, Metin, et al. "Evaluation of diaphragm in penetrating left thoracoabdominal stab injuries: The role of multislice computed tomography." Injury 46.9 (2015): 1734-1737.
17. Mjoli, Monde, et al. "Laparoscopy in the diagnosis and repair of diaphragmatic injuries in left-sided penetrating thoracoabdominal trauma." Surgical endoscopy 29.3 (2015): 747-752.
Published
2019-08-25
How to Cite
HASSAN, Abdulrazzaq Kalaf. Role of Laparoscope in Abdominal Trauma. Kerbala journal of medicine, [S.l.], v. 12, n. 1, p. 4068, aug. 2019. ISSN 1990-5483. Available at: <https://journals.uokerbala.edu.iq/index.php/kj/article/view/373>. Date accessed: 21 oct. 2019.