EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

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Abstract

THE COMPARISON OF THE RESULTS OF LAPAROSCOPIC AND OPEN SURGICAL TREATMENT OF BLUNT ABDOMINAL INJURIES

A. M. Khadjibaev*, K. S. Elmurodov and B. I. Shukurov

ABSTRACT

Aim: The comparative analysis of the results of laparoscopic and traditional surgical treatment of patients with blunt abdominal trauma (BAT). Patients: The study included 160 patients with BAT with stable hemodynamics (BP system ≥ 90 mm Hg), operated in the Republican Research Center of Emergency Medicine (RRCEM) in the period from 2010 to 2019. The control group consisted of 109 (68.1%) patients who underwent primary wide laparotomy without the use of laparoscopy, the main group included 51 (31.9%) patients whose surgical intervention was started with diagnostic laparoscopy. The mean age of the patients was 33.3±11.4 years. There were 133 (83.1%) men and 27 (16.9%) women. Results: The average duration of laparoscopic procedures for BAT in patients with stable hemodynamics is 57.0±40.8 minutes. Laparoscopy followed by conversion practically does not increase the average duration of the intervention compared to primary wide laparotomy (108.1±28.6 versus 103.0±48.7 min, p=0.657). Laparoscopy helps to reduce the duration of stay in the DRiTh from 2.8±1.1 to 1.8±1.0 days (p<0.001), inpatient treatment from 8.7±3.4 to 5.3±2.9 days (p<0.05), a noticeable decrease in the frequency of postoperative complications from 11.9 to 3.1% (p=0.144). Conclusion: In 62.8% of patients with BAT, injuries are detected intraoperatively, which can potentially be eliminated laparoscopically without any special technical difficulties using routinely used endosurgical instruments, which justifies the expediency of expanding the indications for laparoscopy in abdominal injuries.

Keywords: Blunt abdominal trauma, Diagnosis, Surgical treatment, Laparoscopy, Laparotomy.


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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database Academia