Diagnostic Laparoscopy Decreases the Rate of Unnecessary Laparotomies and Reduces Hospital Costs in Trauma Patients

Abstract

Diagnostic laparoscopy might be used in selected patients to exclude significant intra-abdominal injuries.

The management of penetrating abdominal trauma by diagnostic laparoscopy: A Prospective non-randomized study

“…[1,4] Laparoscopy has recently been safely used for PAT patients for diagnostic and therapeutic purposes, avoiding unnecessary laparotomies, shortening the length of hospital stay, and reducing medical costs. [5,6] The aim of our study was to examine the use of diagnostic laparoscopy (DL) in the management of hemodynamically stable trauma patients with penetrating anterior abdominal injuries.…”

Role of Laparoscopy in Bluntabdominal Trauma

“…Penetrating trauma -stable patient The positioning and preparation of the patient for trauma laparoscopy is essentially the same as for a trauma laparotomy. Conversion to conventional open approach to the thorax and abdomen should be possible without delay or additional preparation as for every trauma laparotomy (5) .…”

The Use of Laparoscopy in the Management of Trauma Patients: Brief review

“…29 Laparoscopy-associated complications and morbidity are significantly lower than in cases of traditional laparotomy. [2][3][4] Recent research on the complications associated with diagnostic laparoscopy versus negative laparotomy showed reduced complication rates (3% versus 22%) and decreased hospital stay (1.4 versus 5.1 days). 2 Other studies have found that laparoscopies can significantly reduce hospitalisation-and complicationrelated costs when compared to the traditional laparotomy, with an estimated total reduction of 1.78-2 times.…”

“…2 Other studies have found that laparoscopies can significantly reduce hospitalisation-and complicationrelated costs when compared to the traditional laparotomy, with an estimated total reduction of 1.78-2 times. 3,4 Kaban et al reported that the laparoscopy had sensitivity and specificity rates of 92% and 100%, respectively, in detecting injuries. 30 Another study confirmed the superiority of laparoscopy over diagnostic peritoneal lavage with regards to sensitivity and specificity; additionally, no significant bleeding or trauma was observed during a subsequent laparotomy for 8% of those in the laparoscopy group compared to 27% of those in the peritoneal lavage group.…”

“…[2][3][4][5][6] Unfortunately, most of the published literature on this subject are case reports or retrospective analyses; few prospective randomised trials have been undertaken to compare the benefits of laparoscopies versus laparotomies in trauma cases. The present article aims to assess the indications for and outcomes of laparoscopy in trauma patients in comparison to traditional laparotomy methods and to outline the risks and benefits of each procedure.…”