Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma

BACKGROUND AND OBJECTIVE: Patients with penetrating abdominal trauma can be treated with invasive procedures such as laparotomy and less invasive procedures such as laparoscopy. Since the management of patients with penetrating abdominal trauma based on non-invasive methods is more important, the pr...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	M Shams, A Elyasi
Formato:	article
Lenguaje:	EN FA
Publicado:	Babol University of Medical Sciences 2021
Materias:	laparoscopy laparotomy penetrating abdominal trauma stable hemodynamics. Medicine R Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/b59f09a6c6174f3f85721c54fec31b1d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:b59f09a6c6174f3f85721c54fec31b1d
record_format	dspace
spelling	oai:doaj.org-article:b59f09a6c6174f3f85721c54fec31b1d2021-11-29T07:40:49ZComparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma1561-41072251-7170https://doaj.org/article/b59f09a6c6174f3f85721c54fec31b1d2021-03-01T00:00:00Zhttp://jbums.org/article-1-9495-en.htmlhttps://doaj.org/toc/1561-4107https://doaj.org/toc/2251-7170BACKGROUND AND OBJECTIVE: Patients with penetrating abdominal trauma can be treated with invasive procedures such as laparotomy and less invasive procedures such as laparoscopy. Since the management of patients with penetrating abdominal trauma based on non-invasive methods is more important, the present study was performed to compare laparoscopic and laparotomy methods to evaluate the surgical outcomes, complications and costs of patients with penetrating abdominal trauma. METHODS: In this retrospective study, the records of all patients with penetrating abdominal trauma and stable hemodynamics referred to Kowsar Hospital in Sanandaj during one year were reviewed. Patients' information including demographic characteristics, rate of laparotomy or laparoscopy surgery, time of operation, surgical wound infection, incidence of ileus, patients' pain intensity, length of hospital stay and hospital costs were collected and reviewed based on patients' records. FINDINGS: In this study, the medical records of 40 patients were reviewed. The average pain intensity in the laparoscopy group was 2.03±0.69 and in the laparotomy group was 6.77±1.95. Postoperative ileus was seen in 3 patients (16.66%) who underwent laparoscopy and 17 patients (77.2%) who underwent laparotomy. The average number of hospitalization days in the laparoscopy group was 1.38±0.61 days and in the laparotomy group was 5.73±1.78 days. The average cost of surgery in laparoscopic surgery was equal to 532240 Rials and in laparotomy was 1365600 Rials (p=0.0001). CONCLUSION: According to the results of this study, it seems that the use of diagnostic laparoscopic method for the management and treatment of patients with penetrating abdominal trauma and stable hemodynamics, significantly reduces complications and minimizes costs and length of hospital stay.M ShamsA ElyasiBabol University of Medical Sciencesarticlelaparoscopylaparotomypenetrating abdominal traumastable hemodynamics.MedicineRMedicine (General)R5-920ENFAMajallah-i Dānishgāh-i ̒Ulūm-i Pizishkī-i Bābul, Vol 23, Iss 1, Pp 222-228 (2021)
institution	DOAJ
collection	DOAJ
language	EN FA
topic	laparoscopy laparotomy penetrating abdominal trauma stable hemodynamics. Medicine R Medicine (General) R5-920
spellingShingle	laparoscopy laparotomy penetrating abdominal trauma stable hemodynamics. Medicine R Medicine (General) R5-920 M Shams A Elyasi Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
description	BACKGROUND AND OBJECTIVE: Patients with penetrating abdominal trauma can be treated with invasive procedures such as laparotomy and less invasive procedures such as laparoscopy. Since the management of patients with penetrating abdominal trauma based on non-invasive methods is more important, the present study was performed to compare laparoscopic and laparotomy methods to evaluate the surgical outcomes, complications and costs of patients with penetrating abdominal trauma. METHODS: In this retrospective study, the records of all patients with penetrating abdominal trauma and stable hemodynamics referred to Kowsar Hospital in Sanandaj during one year were reviewed. Patients' information including demographic characteristics, rate of laparotomy or laparoscopy surgery, time of operation, surgical wound infection, incidence of ileus, patients' pain intensity, length of hospital stay and hospital costs were collected and reviewed based on patients' records. FINDINGS: In this study, the medical records of 40 patients were reviewed. The average pain intensity in the laparoscopy group was 2.03±0.69 and in the laparotomy group was 6.77±1.95. Postoperative ileus was seen in 3 patients (16.66%) who underwent laparoscopy and 17 patients (77.2%) who underwent laparotomy. The average number of hospitalization days in the laparoscopy group was 1.38±0.61 days and in the laparotomy group was 5.73±1.78 days. The average cost of surgery in laparoscopic surgery was equal to 532240 Rials and in laparotomy was 1365600 Rials (p=0.0001). CONCLUSION: According to the results of this study, it seems that the use of diagnostic laparoscopic method for the management and treatment of patients with penetrating abdominal trauma and stable hemodynamics, significantly reduces complications and minimizes costs and length of hospital stay.
format	article
author	M Shams A Elyasi
author_facet	M Shams A Elyasi
author_sort	M Shams
title	Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
title_short	Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
title_full	Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
title_fullStr	Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
title_full_unstemmed	Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma
title_sort	comparison of diagnostic laparoscopy and exploratory laparotomy in the management of patients with penetrating abdominal trauma
publisher	Babol University of Medical Sciences
publishDate	2021
url	https://doaj.org/article/b59f09a6c6174f3f85721c54fec31b1d
work_keys_str_mv	AT mshams comparisonofdiagnosticlaparoscopyandexploratorylaparotomyinthemanagementofpatientswithpenetratingabdominaltrauma AT aelyasi comparisonofdiagnosticlaparoscopyandexploratorylaparotomyinthemanagementofpatientswithpenetratingabdominaltrauma
_version_	1718407546230800384

Comparison of Diagnostic Laparoscopy and Exploratory Laparotomy in the Management of Patients with Penetrating Abdominal Trauma

Ejemplares similares