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Research Paper | Surgery | India | Volume 13 Issue 12, December 2024 | Popularity: 4.4 / 10

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Advancing Trauma Care: The Emerging Role of Diagnostic Laparoscopy in Blunt Abdominal Injury

Dr. Sarang S Banait, Dr. Manik C Gedam

Abstract: This study aimed to study the role of laparoscopy in blunt trauma abdomen and its benefits over other imaging techniques. This study included patients with blunt abdominal trauma admitted to surgical units of IGGMCH and Mayo Hospital Nagpur between March 2022 and August 2024. 30 cases of blunt trauma to the abdomen were taken into consideration. Among the 50 patients, most of the patients belonged to the 21-30 age group. Males are more commonly affected by Blunt trauma to the abdomen (76.67%) with the most common etiology being road traffic accidents. Pain was the most common symptom occurring in all 50 patients followed by vomiting. 83% of patients presented with intra-abdominal organ injuries, and 30% of the patients were having splenic involvement as diagnosed on both CECT (30%) and diagnostic laparoscopy (30%). The liver was the second most affected organ with the second most common injury (13.3% on CT and 16.67% on diagnostic laparoscopy) followed by small bowel injury and mesenteric injury. 74% of patients were managed by diagnostic laparoscopy with conservative management and 24% of patients were managed by diagnostic laparoscopy converted to exploratory laparotomy with a total mortality of 6.7%. Rest all patients recovered. Diagnostic laparoscopy offers significant therapeutic advantages; it is minimally invasive, helps achieve timely diagnoses, and reduces the incidence of negative laparotomies. Limiting unnecessary investigations and shortening hospital stays, not only enhances cost efficiency but also improves satisfaction for both patients and surgeons. Furthermore, it allows for effective visualization of intra-abdominal injuries, reducing the need for non-therapeutic laparotomies and minimizing the reliance on serial examinations.

Keywords: Diagnostic laparoscopy, blunt abdominal trauma, spleen

Edition: Volume 13 Issue 12, December 2024

Pages: 394 - 398

DOI: https://www.doi.org/10.21275/MS241204113655

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