Year : 2015 | Volume
: 34 | Issue : 1 | Page : 11--16
Use of laparoscopy in the management of abdominal trauma: a center experience
Morsi Mohamed, Wael Mansy, Yahia Zakaria
Department of General Surgery, Zagazig University, Zagazig, Egypt
The role of laparoscopy in diagnosis as well as therapeutic interventions has increased markedly in the last few years. In trauma, it has become a viable alternative for the diagnosis of intra-abdominal injury following penetrating and blunt trauma. The number of negative and/or nontherapeutic laparotomies performed has decreased since the use of laparoscopy in diagnosis and management.
Patients and methods
Sixty-five patients with abdominal trauma (21 blunt trauma, 44 penetrating trauma) were treated by the Trauma Team at the Emergency Unit of Zagazig University from November 2011 to August 2014 using laparoscopy for diagnosis. All patients underwent a physical examination, ultrasound, and computed tomography (abdomen and pelvis). Laparoscopy was used in the management of these patients through three trocars: one for 30° scope and two working trocars.
In our series, we avoided laparotomy in 81.5% (53/65) of cases. Therapeutic laparoscopy was effective in 15 patients: six patients with stomach penetrations, four with liver lacerations, three with diaphragmatic injuries, and two with splenic lacerations.
Laparoscopy can be performed safely and effectively in stable patients with abdominal trauma.
Department of General Surgery, Zagazig University, Zagazig
|How to cite this article:|
Mohamed M, Mansy W, Zakaria Y. Use of laparoscopy in the management of abdominal trauma: a center experience.Egypt J Surg 2015;34:11-16
|How to cite this URL:|
Mohamed M, Mansy W, Zakaria Y. Use of laparoscopy in the management of abdominal trauma: a center experience. Egypt J Surg [serial online] 2015 [cited 2018 Jan 23 ];34:11-16
Available from: http://www.ejs.eg.net/article.asp?issn=1110-1121;year=2015;volume=34;issue=1;spage=11;epage=16;aulast=Mohamed;type=0