Management of patients with chronic abdominal pain at a tertiary care hospital
Journal Title: Medpulse International Journal of Surgery - Year 2018, Vol 7, Issue 1
Abstract
Background: Laparoscopy can identify abnormal findings and improve the outcome in a majority of patients with chronic abdominal pain, as it allows surgeons to see and treat many abdominal conditions that cannot be diagnosed otherwise. Aim: To study the management of chronic abdominal pain at a tertiary care hospital. Material and Methods: A total of 50 patients with chronic pain abdomen of uncertain etiology and conditions which are unexplained by other investigation and clinical symptom were studied. Laparoscopy was done under general anaesthesia and outcome was measured. Results: Majority of the study subjects had the pain for 6 months and the maximum duration mentioned by the patients was 10 months and the mean duration was 6.5 months. The most common laparoscopy finding among the study subjects was dense adhesions (26%) followed by abdominal TB(18%) and mesenteric lymphadenopathy(16%). 88% of the study subjects had a total relief of their abdominal pain and 6% of the patients felt that the pain was reduced. Conclusion: The efficacy of diagnostic laparoscopy was 90% in the current study. The therapeutic value of diagnostic laparoscopy is well-appreciated and 88% of the study subjects had a total relief of their abdominal pain.
Authors and Affiliations
E M J Karthikeyan, Vijaya Suriya
Keywords
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