Role of diagnostic laparoscopy in comparison with CT scan finding of patients presenting with abdominal trauma-A cross-sectional study

Authors

  • Shiv Shakti Yadav Postgraduate Resident, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India https://orcid.org/0009-0009-9862-3188
  • Rachna Gupta Professor and Head, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India https://orcid.org/0009-0000-9733-571X
  • Lalmani Singh Associate Professor, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India https://orcid.org/0009-0001-0387-9159
  • Anaswara Harindran M Postgraduate Resident, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India
  • Ekta Jain Postgraduate Resident, Department of Surgery, Shyam Shah Medical College and Associated Sanjay Gandhi Memorial Hospital, Rewa, Madhya Pradesh, India https://orcid.org/0009-0009-8176-059X

DOI:

https://doi.org/10.3126/ajms.v14i8.53879

Keywords:

Abdominal trauma; CT scan; Diagnostic laparoscopy

Abstract

Background: Trauma is a critical and urgent surgical condition that we encounter on a regular basis. Blunt trauma mechanisms account for 78.9–95.6% of all injuries, with the abdomen being affected in 6.0–14.9% of all traumatic injuries. Diagnostic laparoscopy (DL) for blunt abdominal trauma (BAT) is safe and feasible. Prerequisites are the hemodynamic stability of the patient and surgical expertise in advanced laparoscopy.

Aims and Objectives: To find out the role of DL in the diagnosis and management of abdominal trauma patients. Effect on the length of hospital stay and rate of reduction of non-therapeutic laparotomy in the patients with trauma abdomen.

Materials and Methods: This cross-sectional study was conducted with 50 patients of abdominal trauma with pre-structured pro forma and Written informed consent. A contrast-enhanced computed tomography (CECT) scan of the abdomen was done in hemodynamically stable patient and injury was noted. Patients meeting the inclusion criteria underwent DL.

Results: The duration of hospital stay was lower in laparoscopically managed patients than in laparotomy patients. Most of the patients were managed conservatively 37 (74%) and thus by reducing non-therapeutic laparotomy. Overall recovery was 86% which signifies the reduction in mortality rate with the use of DL. In this study, clear diagnosis was obtained in 88% of the cases, so the efficacy is 88%.

Conclusion: Laparoscopy and CECT abdomen has an effective diagnostic and management role in patients with BAT. The therapeutic value of DL is also accepted, well appreciated, and it cannot be underestimated.

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Published

2023-08-01

How to Cite

Yadav, S. S. ., Gupta, R., Lalmani Singh, Anaswara Harindran M, & Jain, E. (2023). Role of diagnostic laparoscopy in comparison with CT scan finding of patients presenting with abdominal trauma-A cross-sectional study. Asian Journal of Medical Sciences, 14(8), 227–232. https://doi.org/10.3126/ajms.v14i8.53879

Issue

Vol. 14 No. 8 (2023)

Section

Original Articles

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Copyright (c) 2023 Asian Journal of Medical Sciences

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