The Value of Laparoscopy in Patients with Blunt Abdominal Injuries: Observational Prospective Study

Abstract Background: Laparoscopy combines the advantages of diagnosis & treatment in single procedure with least morbidity. In addition, Laparoscopy can be beneficial in avoiding negative laparotomy. Patients are likely to have less postoperative pain and bedis charged from hospital and return to activities and routine work sooner than those who have under gonelaparotomy. Aim of Study: To determine feasibility, safety & effective-ness of laparoscopy as a diagnostic & therapeutic modality in patients with blunt abdominal trauma. Patients and Methods: This study is observational pro-spective study, was conducted on 30 patients with blunt abdominal trauma in Emergency room of in El-Mabaraa Health Insurance Hospital, Assuit General Hospital and El-Eman General Hospital. Patients were divided into two groups: (Group A): Included 16 patients underwent laparoscopy, (Group B): Included 14 patients underwent laparotomy. Results: Pain score six hours after operation on visual analogue score in group A ranged from 1 to 6 and the mean ±  SD was 2.63±1.78, while in group B ranged from 2 to 7 and the mean ±  SD was 4.21±1.37. There was statistically significant decrease in operative time and post operative pain and complications in laparoscopy group compared to laparot-omy group (p<0.001). There was statistically significant increase in patient satisfaction level with the scar and outcome in group A than group B. Conclusion: Laparoscopy constitutes a safe and feasible procedure for the diagnosis and treatment of blunt abdominal trauma (BAT) and can be the first choice with no increase in postoperative complications.