To evaluate the role of laparoscopy in were excluded. the diagnosis and management of blunt Resul... more To evaluate the role of laparoscopy in were excluded. the diagnosis and management of blunt Results: Out of 32 patients, 29 were male and abdominal trauma. only 3 were female. The age ranged from 12 to 60 Methodology: This descriptive, prospective years. The organs injured were spleen in 5 study was conducted in the departments of (15.6%) patients, liver in 17 (53.12%), omental surgery, Ghulam Mohammad Mahar Medical bleeding in 2 (6.25%), small bowel mesenteric College, Sukkur and Chandka Medical College, bleeding in 6 (18.75%) and associated Jejunal Larkana, Pakistan from June 2010 to May 2012. It injuries in 2 (6.25%) patients. Only 3 (9.37%) included 32 patients with blunt abdominal trauma patients with Grade-iii liver injury developed postadmitted in emergency at GMMMC, Sukkur and at operative collection, 1 (3.12%) patient developed CMC Larkana. Initially, all were resuscitated with biliary fistula and 1(3.12%) developed right sided iv fluids, analgesics, iv antibiotics and blood pleural effusion. No post-operative bleeding or transfusion, if required and then investigated by mortality was recorded. ultrasound abdomen, plain x-ray abdomen and Conclusion: Laparoscopy could be useful in chest and other routine investigations. selected patients with blunt abdominal trauma as Laparoscopy was performed in hemodynamically a diagnostic and therapeutic tool, thus avoiding stable patients not showing free gas under the unnecessary laparotomies. (Rawal Med J diaphragm in plain x-ray abdomen and ultrasound 2013;38:40-43). showing hemoperitoneum.
To evaluate the role of laparoscopy in were excluded. the diagnosis and management of blunt Resul... more To evaluate the role of laparoscopy in were excluded. the diagnosis and management of blunt Results: Out of 32 patients, 29 were male and abdominal trauma. only 3 were female. The age ranged from 12 to 60 Methodology: This descriptive, prospective years. The organs injured were spleen in 5 study was conducted in the departments of (15.6%) patients, liver in 17 (53.12%), omental surgery, Ghulam Mohammad Mahar Medical bleeding in 2 (6.25%), small bowel mesenteric College, Sukkur and Chandka Medical College, bleeding in 6 (18.75%) and associated Jejunal Larkana, Pakistan from June 2010 to May 2012. It injuries in 2 (6.25%) patients. Only 3 (9.37%) included 32 patients with blunt abdominal trauma patients with Grade-iii liver injury developed postadmitted in emergency at GMMMC, Sukkur and at operative collection, 1 (3.12%) patient developed CMC Larkana. Initially, all were resuscitated with biliary fistula and 1(3.12%) developed right sided iv fluids, analgesics, iv antibiotics and blood pleural effusion. No post-operative bleeding or transfusion, if required and then investigated by mortality was recorded. ultrasound abdomen, plain x-ray abdomen and Conclusion: Laparoscopy could be useful in chest and other routine investigations. selected patients with blunt abdominal trauma as Laparoscopy was performed in hemodynamically a diagnostic and therapeutic tool, thus avoiding stable patients not showing free gas under the unnecessary laparotomies. (Rawal Med J diaphragm in plain x-ray abdomen and ultrasound 2013;38:40-43). showing hemoperitoneum.
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