Role of Diagnostic Laparoscopic for Conversion to Therapeutic Laparotomy in Blunt Abdominal Trauma

Abstract

Objective: To determine the frequency of conversion to therapeutic laparotomy after diagnostic laparoscopic in blunt abdominal trauma

Study Design: Cross-sectional study

Place and Duration of Study: This study was conducted at the Department of Surgery, Lahore General Hospital, Lahore from 1^st January 2019 to 30^th June 2019.

Materials and Methods: Ninety five patients were included. Then patients will undergo laparoscopic surgery under general anaesthesia. During laparoscopy, patients were evaluated if there was abdominal unstable wound or internal organ bleeding and cannot be managed through laparoscopy, and then conversion to therapeutic laparotomy was labelled.

Results: The mean age of patients was 36.33±13.93yeas. There were 79 (83.2%) males and 16 (16.8%) females in our study. The major cause of trauma was road traffic accident (30.5%) followed by fall from height (24.2%), strike something hard (23.2%) and fight (22.1%). Eighteen (18.95%) patients needed for conversion to open laparotomy after laparoscopic procedure.

Conclusion: The frequency of need of conversion to open surgery was found to be low in our study. Now, we have got the local evidence and now we recommend the laparoscopy to be performed in all BAT cases, keeping in mind the low rate of conversion to open surgery.