A Study on the role of Elective Laparoscopic Appendectomy For Chronic Right Lower Quadrant Pain
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2017, Vol 16, Issue 12
Abstract
Aims and Objectives :To study the role of elective laparoscopic appendectomy for chronic or recurrent right lower quadrant pain. To study the relationship between clinical improvement and histopathological findings of removed appendix Methods : 50 cases who underwent laparoscopic Appendectomy in a period of 9 months were included in the prospective observational study and followed up at 6 weeks , 3 months , were assessed with pain score and aslo histopathological reports of the removed appendix. Results:Right lower quadrant abdominal pain was the chief complaint in all of the 50 patients and 5 patients(10%) had fever and 6 patients (12%) had vomiting. In this study, it shows that 40 patients (80%) had complete relief of right lower quadrant pain after 6 weeks after laparoscopy appendectomy and at the end of the 3 months after, 45 patients(90%) had complete relief but still 5 patients (10%) complained of right lower quadrant abdominal pain.. On Histopathological examination of removed appendix 12 patients (24%) had acute features of inflammed appendix,14 patients (28%) had chronic features and 24 patients (48%) had normal features. Conclusion :In patients with chronic right lower quadrant abdominal pain, elective laparoscopic appendectomy could be an effective therapeutic procedure in properly selected patients. Histopathological findings of the removed appendix does not contribute in establishing the diagnosis in these patients. A definitive therapeutic procedure can be undertaken laparoscopically in most patients instead of resorting to open laparotomy.
Authors and Affiliations
Dr. Kannan G, Dr. Pradeep Kumar Gunasekaran, Dr. Dhayanithi Dhayalan
Keywords
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- EP ID EP251076
- DOI 10.9790/0853-1612086164
- Views 90
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