Video laparoscopy for closed abdominal trauma with liver and spleen damage

Open and closed abdominal trauma is the structure of traumatic injuries makes up from 1.5% to 36.5% all injuries, accompanied in 26.7-40.8% cases by liver spleen damage. Damage parenchymal organs cavity most often leads development intra-abdominal bleeding, which basis unsatisfactory results treatment death patients. Among diagnostic methods, video laparoscopy becoming more important finding extent damage internal cavity. In emergency as a minimally invasive but sufficiently informative research method, 20-60% allows supplement, clarify or change diagnosis. The sensitivity case 99-100%. Purpose - study role place diagnosis with spleen. Materials methods. using isolated 131 patients were retrospectively analyzed. search program included clinical, laboratory-biochemical, radiographic studies, ultrasound examination according FAST protocol, computed tomography, laparocentesis catheter, peritoneal lavage, laparoscopy, performed comprehensive indications. obtained data are presented form absolute (number cases) relative (%) values. validity was considered statistically significant at p˂0.05. Results. Video injury diagnose nature shortest possible time determine tactics. This method hemoperitoneum (100%), 92.8%, specificity 94.6%, p<0.05. All laparoscopic operations for ended thorough revision, sanitation drainage We did not observe complications related endo-video surgery this group There no fatal consequences. indicates that use methods helps reduce severity surgical frequency various postoperative complications. Conclusions. Laparoscopy highly diagnosing possibility carrying out medical measures. It you prevent significantly complications, improve treatment, shorten hospitalization period compliance above criteria, safe adequate replacement laparotomy both intervention. carried accordance principles Helsinki Declaration. protocol approved Local Ethics Committee participating institution. informed consent patient conducting studies. No conflict interests declared authors.