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A Case Series of Delayed Laparoscopic Drainage of Haemoperitoneum in Blunt Liver Trauma

Year: 2024

Type: article

Abstract: Background: Liver trauma is a leading cause of mortality in blunt abdomen trauma. Laparoscopy in blunt abdomen trauma has been described in the acute setting, however delayed laparoscopy as a tool of reevaluation of non operative management and drainage of haemoperitoneum in those with signs of inflammation, has not been widely evaluated. Materials and Methods: In this article, we retrospectively explore a series of 5 cases of blunt liver trauma presenting to our emergency department at CIVIL Hospital Ahmendabad, where delayed laparoscopic drainage was done. Results and Conclusions: Average of 1200 +/- 274 ml of haemoperitoneum was drained. Two out of 5 cases had bile staining of the drained collection. Mean operative duration was 40.8 +/- 7.6 mins. Post operative recovery was uneventful and all patients were doing well on review after two weeks. This throws light on delayed laparoscopic drainage being a safe and effective adjunct to non operative management of blunt liver trauma and avoids the trauma of emergency laparotomy.

Source: BJKines National Journal of Basic & Applied Sciences

DOI: 10.56018/20241206

Authors: Dr. Alpesh B. Amin, Dr. Sreemoyee Biswas, Dr. Hiteshwari A. Patel

Institutions: Ahmedabad Civil Hospital, B.J. Medical College

Language: English

Topic: Abdominal Trauma and Injuries

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: hybrid

Estimated APC paid: $73