LAPAROSCOPY SIGNIFICANCE IN URGENT SURGERY IN ABDOMINAL ORGANS
The paper presents the retrospective analysis of 219 videolaparoscopies in patients treated in the department of surgery in the First Republican Clinical Hospital of the Ministry for Health in the Udmurt Republic in 2013-2016. Among these cases 124 manipulations were carried out in reference to a blunt abdominal injury while 95 manipulations – in patients with a suspected penetrating stab and slash wound of the anterior abdominal wall. The study shows that videolaparoscopical frequency was 45.2% in penetrating stab abdominal wounds up to 66% in cases with a blunt abdominal wound. Videolaparoscopy as an independent surgical manual in abdominal injuries was used in 34% of blunt abdominal injuries up to 54.8% of penetrating stab and slash wounds of the anterior abdominal wall. None of the cases required control laparotomy after videolaparotoscopical procedure that included the whole content of the operative manual.