الفهرس 
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Abstract
Background: Trauma is considered to be the main leading cause of death in young
adults under 35 years old. Blunt mechanisms accounts for about 95% of injuries.
For the majority of trauma cases, laparotomy was considered the standard procedure.
The introduction of laparoscopic technique is increasingly used alternative to open
surgery. This study aims to assess the efficacy of Laparoscopy in management of
Patients with Blunt abdominal trauma in order to avoid unnecessary laparotomies.
Objective: To assess the efficacy of laparoscopy and its role in patients with blunt
abdominal trauma.
Patients and Methods: Observational prospective cohort study. Ain Shams
University Surgery Hospital. All isolated blunt abdominal trauma patients at Ain
Shams University Surgery hospital from 1/3/2019 to 1/9/2019. Eligibility and
exclusion criteria applied as following: Eligibility criteria: All admitted patients with
blunt abdominal trauma presented to ASUH. Patients with class I &class II according
to ATLS guidelines for hemorrhagic shock in trauma patients. Patients aged 18 years
old or above.Exclusion criteria: Patients with class III &class IV according to ATLS
guidelines for hemorrhagic shock in trauma patients. Pregnant patients. Patients with
old trauma presented after 24 hours. Patients discharged on demand.
Results: Laparoscopy decreased the operative time in comparison with laparotomy,
the mean operative time for patients underwent laparoscopy is 123.28 minutes while
in patients underwent laparotomy is 150.48. Also, time to pass gas post operative after
laparoscopy is 1-3 days compared to 2-4 days after laparotomy which is in favor of
laparoscopy which is associated with rapid recovery of patients. Laparoscopy is
associated with decreased post operative ICU stay (1-3) days in comparison with
Laparotomy (2-5) days and decreased total hospital stay. The rate of complications
after laparoscopy is much less than after laparotomy, 2 patients with respiratory tract
infections after laparoscopy and no mortality while six patients with respiratory tract
infections, 6 patients with wound infection, one patient with deep venous thrombosis
and 2 patients died after laparotomy.
Conclusion: Laparoscopy is feasible and safe for the diagnosis and treatment of
hemodynamically stable patients with blunt abdominal trauma and can reduce the
laparotomy rate with less rates of morbidity and mortality.