Abdominal penetraiting wound was indicated totally surgery but there are cases not nessesary to operate. The study has pupose to evaluate the possibility of laparoscopic surgery in diagnosis and treatment of abdominal wound. Patients and method: prospective cohort study on 62 cases hospitalized in Viet-Duc University Hospital from 2010 to 2012. Results: There are 80 percent cases needed surgical treatment and laparoscopic surgery diminue 10 percent blank laparotomy and treated successfully for 35 percent cases, assisted laparoscopic surgery in 15 percent and only 5 percent needed convert to open laparotomy. Conclusion: laparoscopic surgery is a efficace method in diagnosis and treatment of abdominal wound.