Laparoscopy at Sebokeng Hospital with Emphasis on Trauma

I Bombil

Laparoscopy at Sebokeng Hospital with Emphasis on Trauma

I Bombil * §

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§ University of Witwatersrand

Laparoscopy at Sebokeng Hospital with Emphasis on Trauma

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Abstract

Advances in minimal access surgery has revolutionized the practice of surgery over the past two decades. In some areas, laparoscopy has become the standard of care as in cholecystectomy. Laparoscopy in trauma however has been trailing behind, supposedly because of the fear of missing injuries in unpredictable trauma setting. There are reports in the literature about the benefit of laparoscopy in trauma, but we do not have local data in South Africa. We therefore endeavour to assess the place of laparoscopy in trauma by performing this audit of our laparoscopy practice at Sebokeng Hospital, South Africa. Objective: Review of the practice of Laparoscopy at Sebokeng Hospital with special emphasis on trauma to identify the indications of laparoscopy in the management of selected injuries. Methods: Retrospective review of data from all laparoscopic procedures performed between November 2011 and October 2012 at Sebokeng Hospital. Parameters evaluated included demography, mechanism of injury, procedure and intra- operative findings. Result: A total of 390 laparoscopic procedures were performed. Majority were emergency 77.9% (304/390) topped by appendicectomy 54.9% (167/304) whilst trauma represented 13.8% (42/304) of all emergencies. Cholecystectomy was the most common elective procedure 74.4% (64/86). Of the trauma cases, 40 were available for analysis; the patients were predominantly male (36/40) and stable penetrating trauma was the most common indication (34/40) for surgery. Laparoscopy was successfully completed in 65% (26/40) of the patients. The remaining cases benefited from conversion 17.5% (7/40), laparoscopy assisted mini-laparotomy 15% (6/40) and laparoscopy guided referral to tertiary Hospital 2.5% (1/40). Conclusion: Laparoscopy is applicable in trauma in carefully selected cases obviating the need for unnecessary laparotomy with its related early and long term complications.

References

12 Cites in Article

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Funding

No external funding was declared for this work.

Conflict of Interest

The authors declare no conflict of interest.

Ethical Approval

No ethics committee approval was required for this article type.

Data Availability

Not applicable for this article.

How to Cite This Article

I Bombil. 2014. "Laparoscopy at Sebokeng Hospital with Emphasis on Trauma". Global Journal of Medical Research - I: Surgeries & Cardiovascular System GJMR-I Volume 14 (GJMR Volume 14 Issue 37 (I4)).

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GJMR Volume 14 Issue 37 (I4)

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Journal Specifications

Crossref Journal DOI 10.17406/gjmra

Print ISSN 0975-5888

e-ISSN 2249-4618

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Classification

GJMR-I Classification FOR Code: WF 350

Submission ReceivedDecember 9, 2013
Peer Review Double Blind
Handling Editor
Accepted January 2, 2014
Published August 11, 2014

Version of record

v1.2

Issue date

August 11, 2014

Language

English

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Article Matrices

Total Score: 109

Country: South Africa

Subject: Global Journal of Medical Research - I: Surgeries & Cardiovascular System

Authors: I Bombil, MD, FCS (SA); A Maraj, MBChB; W S Lunda, MD, MMED Fam Med, H.Dip.Surg; J Thomson, MBBCh; B Puttergill, MBBCh (PhD/Dr. count: 0)

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