{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T18:26:39Z","timestamp":1778610399372,"version":"3.51.4"},"reference-count":6,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2023,3,3]],"date-time":"2023-03-03T00:00:00Z","timestamp":1677801600000},"content-version":"vor","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Surg J (N Y)"],"published-print":{"date-parts":[[2023,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Introduction\u2003This study analyzes barriers to the adoption of emergency laparoscopy (EL), safety, and accessibility in a low-resource setting of a low- and middle-income country (LMIC).<\/jats:p><jats:p>\n          Methods\u2003In this prospective observational study, patients with blunt trauma abdomen (BTA) who required exploration were included and divided into two groups\u2014open exploration (open surgery [OSx]) and laparoscopic exploration (laparoscopic surgery [LSx]). Data were compiled and analyzed.<\/jats:p><jats:p>\n          Results\u2003Out of 94 BTA patients, 66 required exploration, and the rest were managed conservatively. Out of 66 patients, 42 were in OSx and 24 were in LSx, reason for not selecting LSx was the surgeon's preference for OSx in 26 patients and the lack of availability of operation theater (OT) slots in 16 patients. LSx even after indication was less likely if patients had preoperative evidence of perforation peritonitis.<\/jats:p><jats:p>\n          Conclusion\u2003Lack of resources (OT availability and trained personnel) are barriers to the adoption of emergency LSx in low-resource settings.<\/jats:p>","DOI":"10.1055\/s-0043-1761951","type":"journal-article","created":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T00:19:51Z","timestamp":1677889191000},"page":"e58-e61","source":"Crossref","is-referenced-by-count":8,"title":["Access, Safety, and Barriers in Adoption of Emergency Laparoscopy Surgery for Trauma Patients in a Low-Resource Setting"],"prefix":"10.1055","volume":"09","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4275-2166","authenticated-orcid":false,"given":"Rahul","family":"Kumar","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arpan","family":"Mishra","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harikrishna","family":"Damde","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prasant","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sanjay Kumar","family":"Yadav","sequence":"additional","affiliation":[{"name":"Department of Surgery, Netaji Subhash Chandra Bose Medical College, Jabalpur, Madhya Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2023,3,3]]},"reference":[{"issue":"11","key":"ref1","doi-asserted-by":"crossref","first-page":"4009","DOI":"10.1007\/s00464-013-3019-z","article-title":"Barriers to the uptake of laparoscopic surgery in a lower-middle-income country","volume":"27","author":"I Choy","year":"2013","journal-title":"Surg Endosc"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"13","DOI":"10.4240\/wjgs.v9.i1.13","article-title":"Practice, training and safety of laparoscopic surgery in low and middle-income countries","volume":"9","author":"M Alfa-Wali","year":"2017","journal-title":"World J Gastrointest Surg"},{"issue":"04","key":"ref3","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1089\/109264202760268023","article-title":"Use of laparoscopic splenectomy in developing countries: analysis of cost and strategies for reducing cost","volume":"12","author":"E O Hamamci","year":"2002","journal-title":"J Laparoendosc Adv Surg Tech A"},{"issue":"03","key":"ref4","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1177\/0049475521998186","article-title":"Barriers to training in laparoscopic surgery in low- and middle-income countries: a systematic review","volume":"51","author":"E Wilkinson","year":"2021","journal-title":"Trop Doct"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"627","DOI":"10.1016\/j.amjsurg.2014.12.011","article-title":"Laparoscopic surgery for trauma: the realm of therapeutic management","volume":"209","author":"S N Zafar","year":"2015","journal-title":"Am J Surg"},{"issue":"06","key":"ref7","doi-asserted-by":"crossref","first-page":"e29","DOI":"10.1097\/GH9.0000000000000029","article-title":"Barriers and facilitators of laparoscopic surgical training in rural north-east India: a qualitative study","volume":"3","author":"E Wilkinson","year":"2020","journal-title":"Int J Surg Global Health"}],"container-title":["The Surgery Journal"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0043-1761951.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,4]],"date-time":"2023-03-04T00:19:55Z","timestamp":1677889195000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0043-1761951"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,1]]},"references-count":6,"journal-issue":{"issue":"01","published-online":{"date-parts":[[2023,2,3]]},"published-print":{"date-parts":[[2023,1]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0043-1761951","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["2378-5128","2378-5136"],"issn-type":[{"value":"2378-5128","type":"print"},{"value":"2378-5136","type":"electronic"}],"subject":[],"published":{"date-parts":[[2023,1]]}}}