Laparoscopy has a therapeutic role in the management of abdominal trauma: A matched-pair analysis

International Journal of Surgery
Saurav ChakravarttyAmeet G Patel

Abstract

Laparoscopy is increasingly utilised as a diagnostic tool in management of abdominal trauma; however its role in therapeutic intervention remains unexplored. The aim of this study is to compare laparoscopy with laparotomy in the treatment of abdominal trauma in haemodynamically stable patients. A review of patients undergoing surgery for abdominal trauma between January 2004-2014 identified 25 patients who underwent laparoscopy for therapeutic intervention (TL). This group was matched with 25 similar patients undergoing laparotomy (LT). Matching of the two cohorts was based on patient characteristics, severity of injuries, haemodynamic compromise and radiological findings. Peri-operative outcomes were compared. Patient characteristics were similar in TL and LT patients for age (median 33 vs. 26 years), gender distribution and clinical presentation. Injury severity score was also similar with a median of 16 in both groups (major trauma = ISS>15, normal range 0-75). Types of injuries included; hollow viscus [bowel repair = 10 (TL) vs. 16 (LT)] and solid organs [5(TL) vs. 2 (LT)]. Median operating time was similar in both groups; 105(TL) compared to 98 (LT) minutes. Post-operative complications (1 vs. 10, p = 0.02), analgesia requ...Continue Reading

Citations

Nov 30, 2018·The Journal of Trauma and Acute Care Surgery·Salomone Di SaverioGregorio Tugnoli
Mar 23, 2019·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Supreet Singh, Aziz M Merchant
Jan 12, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Luca PauGiovanni Dapri

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