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

Related Articles

A study of laparoscopic extra peritoneal endoscopic hernioplasty in cases of inguinal hernia at south Indian population

Background: In present days, there is increase in laparoscopic hernia repair for inguinal hernias. The objective of this study was to evaluate the various parameters in laparoscopic TEP hernia repair. Methods: Prospectiv...

Incidence of benign breast disorders presenting to surgery outpatient department in western Rajasthan – A prospective study of 100 cases

Breast disorders are the most common disorders in females, with worldwide distribution, sparing no race or country. Benign breast conditions have further been compounded because of confusing terminology, inadequate class...

Ectopic thyroid with thyrotoxicosis: Rare presentation of lingual thyroid in child

Lingual thyroid is a rare anomaly exact pathogenesis of which is not known. It is a common presentation of ectopic thyroid. Occurs in about 1 in 100,000 populations. It’s common in females, but very rare in children. Usu...

A study of the role of acute phase reactants – C-reactive protein and procalcitonin in predicting the severity of sepsis

Background: Sepsis is a serious clinical condition that represents a patient’s response to a severe infection and has a very high mortality rate. Aims and Objectives: to study the role of Acute phase reactants – C-reacti...

Factors affecting morbidity in patients undergoing emergency abdominal surgery

Background: Emergency abdominal surgery adversely affects surgical outcomes. Predictors of increased morbidity and mortality of emergency abdominal surgery are known. We determined the predictors of post-operative compli...

Download PDF file
  • EP ID EP410354
  • DOI -
  • Views 178
  • Downloads 0

How To Cite

E M J Karthikeyan, Vijaya Suriya (2018). Management of patients with chronic abdominal pain at a tertiary care hospital. Medpulse International Journal of Surgery, 7(1), 21-25. https://europub.co.uk/articles/-A-410354