AbstractIntroduction: Incidence of blunt trauma to abdomen is increasing day due to increase in incidence of Road Traffic Accident. Various diagnostic tests can be used to evaluate patients with blunt abdominal trauma. These include ultrasonography (US), diagnostic peritoneal lavage (DPL), computed tomography (CT) and diagnostic laparoscopy (DL). Laparoscopy has gained widespread acceptance as a useful tool in the diagnosis and management of patients with blunt abdominal injuries. Aims and objective: To study the accuracy of Diagnostic Laparoscopy in Blunt Abdominal Trauma Patients Materials and Method: Total 40 cases of blunt abdominal trauma were enrolled in the present study. Diagnostic laproscopic was performed in all the patients using standard guidelines. Hemodynamic parameters were watched meticulously during the procedure. Postoperatively, the patients were observed for vital parameters, hemoglobin level and return of bowel functions and wound complications. The patients were discharged after return of normal bowel functions, drain removal and ruling out complications if any. Information regarding mean duration of surgery, blood transfusion required, post operative nbm, drain in situ, hospital stay and stitch removal was also recorded. The collected data was analyzed and presented with appropriate table and graphs. Results: The most common mode of injury in the present study was road traffic injury (60%) followed by fall (15%) and assault (20%). It was seen that majority of the patients (75%) were less than 40 years of age. Majority of the patients were male (80%). It was observed that out of total 40 patients explorative laprotomy was required in 10 cases. There was no negative laproscopy done in the present study. Thus the accuracy diagnostic laproscopy was 100% in the present study. Conclusion: Thus we conclude that laparoscopy is newly emerging diagnostic as well as therapeutic modality in management of blunt abdomianal injury which is getting acceptance worldwide, subjective to availability of equipment and skilled item. The accuracy of diagnostic laproscopy was 100% in the present study.

                                Keyword: diagnostic laproscopy, accuracy, blunt abdominal trauma.