Accuracy of Diagnostic Peritoneal Paracentesis in Acute Abdomen Requiring Emergency Surgical Intervention
Journal Title: INTERNATIONAL JOURNAL OF SCIENTIFIC STUDY - Year 2017, Vol 5, Issue 4
Abstract
Introduction: Abdominal paracentesis is a simple bedside or clinic procedure in which a needle is inserted into the peritoneal cavity, and ascitic fluid is removed. Diagnostic paracentesis refers to the removal of a small quantity of fluid for testing. Aim: To evaluate the efficacy of abdominal paracentesis as a simple, bedside diagnostic tool in diagnosing the acute abdominal conditions requiring emergency surgical interventions. Materials and Methods: All patients with acute abdominal pain, both traumatic and nontraumatic, ages between 12 and 70 years and patients with shock and suspicion of acute abdomen were included in the study. Results: Overall diagnostic accuracy of positive peritoneal paracentesis in our study was 93.75%. The study showed that the procedure was 100% accurate in blunt trauma abdomen and gastroduodenal perforation. There was a complete absence of complications in our study. Conclusion: In conclusion, our study reestablishes the simplicity, safety and accuracy of peritoneal tapping as a diagnostic aid in acute abdomen. It is particularly useful in centers where radiological facilities do not exist.
Authors and Affiliations
J Rakesh Fernando, S Sendhurpandian, A Mohan Kumar, Heber Anandan
Keywords
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