Role of Laparoscope in Abdominal Trauma

Abdulrazzaq Kalaf Hassan

doi:10.70863/karbalajm.v12i1.373

المؤلفون

Abdulrazzaq Kalaf Hassan college of medicine- university of kerbala

DOI:

https://doi.org/10.70863/karbalajm.v12i1.373

الكلمات المفتاحية:

laparoscope, abdominal trauma, laparotomy, conversion.

الملخص

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:

Benefits of Laparoscope in Abdominal Trauma.
Contraindications for Laparoscope in Trauma Patients.
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:

The laparoscope is an important tool in the management of blunt abdominal trauma.
The laparoscope is a good preventive measure of nontherapeutic laparotomies.
It’s important measure in diagnosing and even treating diaphragmatic injuries.
Traumatic bowel injuries can be diagnosed and even treated by the laparoscope
The presence of profuse hemorrhage make continue on laparoscopic approach is non judges.

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