Original Articles
A comparative study of diagnostic laparoscopy and exploratory laparotomy in management of blunt abdominal trauma | |
Dr. Naveen Dahiya, Dr. Mahesh Kumar Sharma | |
Introduction:Trauma is the primary cause of death for patients under 35 in the globe and is a significant obstacle for medical professionals. It ranks as the sixth leading cause of death worldwide. Globally, blunt trauma accounts for between 78.9 and 95.6% of injuries, despite regional differences. The abdomen is involved in between 9 and 14.9% of all trauma cases. Material and Methods:The Present Randomized comparative studyconducted in Department of General Surgery, National Institute of Medical Science and Research, Jaipur for the duration of 18 months (1 July 2022- 31 December 2023).After the sample estimation, a total of 76 patients with blunt abdominal trauma were included which were randomly and equally distributed into two groups i.e. Diagnostic Laparoscopy and Exploratory Laparotomy. Data was collected and subjected to statistical analysis. Results: Males were comparatively more as compared to females among both the study groups. RTA was the most common mode of trauma among the study subjects followed by fall from height.The mean operative time (in min) required during surgery was 117.43±8.09 and 148.58±16.14 in Diagnostic Laparoscopy and Exploratory Laparotomy group respectively. Conclusion:The use of minimally invasive surgery is expanding across various surgical specialties. Compared to laparotomy, laparoscopy has been linked to decreased rates of morbidity and death as well as shorter hospital stays, blood loss and transfusions, wound infections, and operating time. |
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