A STUDY OF DIAGNOSTIC LAPAROSCOPY IN CHRONIC ABDOMINAL PAIN
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2018, Vol 5, Issue 28
Abstract
BACKGROUND Chronic abdominal pains are amongst the abdominal conditions most difficult to manage. Chronic abdominal pain is a difficult complaint. 1 Most patients in this group would have already undergone many diagnostic procedures. Clearly, diagnostic laparoscopy is an important intermediate option between refusing to explore a patient’s abdomen and performing a laparotomy. MATERIALS AND METHODS This is a prospective study, done on patients admitted in General Surgery in Gandhi Hospital between August 2013 to September 2015. RESULTS Our study of 84 patients with chronic pain abdomen showed a peak incidence of chronic pain abdomen in the third decade with female preponderance. Around 48 (57.14%) of patients in our study had undergone a previous surgery. The next most common finding at laparoscopy in our study was a normal study (13%). Recurrent appendicitis was our per operative diagnosis in 11.9% of our patients. CONCLUSION Diagnostic laparoscopy has a high diagnostic and therapeutic efficacy. Not only does laparoscopy point to a diagnosis, it has the added advantage that therapeutic intervention can be done at the same sitting in most cases thus avoiding another hospitalization or another exploration of the abdomen.
Authors and Affiliations
Ramesh Lingala
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