الفهرس 
IntroductionOnly 14 pages are availabe for public view
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Abstract
Background: Trauma is the main cause of morbidity and mortality worldwide and is still the most frequent cause of death in the first four decades of life. Moreover, it remains a major public health problem among all countries, regardless of the socioeconomic status. Aim of the Work: to evaluate the role of laparoscopy in minimizing the complications of exploratory laparotomy, especially when the results of laparotomy comes negative. Patients and Methods: This prospective cohort clinical study was conducted on 25 patients who presented to emergency unit with abdominal trauma (either blunt or penetrating) during the period between December 2017 and May 2018. Results: 7 cases (28%) had no detected intra-abdominal injuries and considered negative, the other 18 cases (72%) showed variety of intra-abdominal injuries and considered positive. Between the 18 positive cases 11 of them (61.1%) were dealt with laparoscopically and the other 7 cases (38.9%) required conversion to laparotomy. The use of laparoscopy in abdominal trauma patients appears as a safer alternative for exploratory laparotomy with 100% sensitivity in detecting intra-abdominal injuries, less complications rate and less post-op. hospital stay. In the hands of an experienced laparoscopic surgeon it can be safely used to repair those injuries laparoscopically. Conclusion: In a hemodynamically stable patient presented with abdominal trauma (either penetrating or blunt), Laparoscopy has both a diagnostic and therapeutic roles.