Laparoscopy versus laparotomy in the management of abdominal trauma

Abstract

Objective

The objective of this study was to compare, evaluate and manage abdominal trauma using two distinct surgical techniques: laparoscopy and laparotomy. The aim was to assess the effectiveness and safety of laparoscopic procedures compared with laparotomy for treating penetrating or blunt abdominal trauma.

Methodology

In this prospective comparative study, we recruited 60 patients clinically diagnosed with abdominal trauma. The research was conducted at the Emergency Unit of the Department of General Surgery, Faculty of Medicine, Aswan University Hospital. All participants provided signed informed consent before their inclusion in the study.

Results

There was a significant statistical difference between the two groups in terms of the operation duration, length of stay in the intensive care unit post-operatively, occurrence of gas passage and duration of hospitalisation.

Conclusions

Laparoscopic surgical procedures present a viable and practical alternative to laparotomy in appropriate cases for patients. The decision to choose laparoscopy as a surgical approach should depend on the surgeon's proficiency and the availability of required resources.