الفهرس 
MODE AND MECHANISM OF BLUNT TRAUMAOnly 14 pages are availabe for public view
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Abstract
The use of laparoscopy in the diagnosis of abdominal diseases has rapidly expanded over the last few years.
Surgeons are now expanding the role of the laparoscope to include preoperative staging of a wide range of cancers, posttreatment or second-look laparoscopy for numerous malignancies, liver disease, and ascites. The number of treatment options available through the laparoscope are also increasing rapidly.
In spite of the various diagnostic methods currently used (diagonostic peritoneal lavage, abdominal ultrasonography and computed tomography scan), it is difficult to evaluate the presence and severity of intraabdominal injuries.
Diagnostic and therapeutic laparoscopy applied to carefully selected hemodynamically stable trauma patients proved to be safe and technically feasible. It also reduced the negative and nontherapeutic laparotomies and offered profound therapeutic potential and cost effectiveness.
Therapeutic applications will progress with increasing diagnostic familiarity, improvement in the surgeon’s laparoscopic skills, and developing technologic advances in trauma management.
On the basic of the laparoscopic findings, laparoscopy may be enough in patients with blunt abdominal trauma for gastric wall repair, small bowel repair, small bowel resection- anastomosis, ligation of bleeders in the mesentery and omentum, sigmoid colon repair, Hartmann’s procedure, cholecystectomy, distal pancreatecomy and splenectomy