Laparoscopy as a diagnostic tool in chronic abdominal pain
Journal Title: MedPulse -International Medical Journal - Year 2017, Vol 4, Issue 2
Abstract
Background: After ruling out most common diseases in patients with chronic abdominal pain by careful investigation, many patients still remain undiagnosed and represents a major diagnostic challenge to the surgeon. Laparoscopy has proved to be an important tool in such cases, whose diagnosis remains uncertain, despite extensive investigations. This study was undertaken to evaluate the potential benefits of diagnostic laparoscopy in cases of chronic abdominal conditions with uncertain diagnosis. Material and Methods: Diagnostic Laparoscopy was done on 30 patients of 12 to 65 years of age from both sex with history of abdominal pain for 3 months or more with uncertain diagnosis after all the conventional investigation modalities. Results: Out of 30 patients, 15 (50%) had duration of pain between 7-12 months and 43.33% of them being in the periumbilical region. 70% of the patients had a previous history of abdominal surgeries. The most common finding at laparoscopy in our study was post-operative adhesions (60%) followed by recurrent appendicitis (16.66%).Laparoscopy established the diagnosis in 86.67% of our patients. Discussion: Laparoscopy is safe, quick and effective modality of investigation for chronic abdominal pain. It prevents unnecessary laparotomy in a significant number of cases. It has a definitive role in the management of patients with chronic pain abdomen and should be an important investigative tool in the armamentarium of all practicing surgeons.
Authors and Affiliations
Vijay Kassa, Mohan Ajmera
Keywords
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