Role of laparoscopy in the diagnosis and management of nonspecific abdominal pain
Journal Title: Medpulse International Journal of Surgery - Year 2017, Vol 3, Issue 1
Abstract
Background: Patients withnonspecific abdominal pain undergo multiple, often costly, investigations. A definitive diagnosis is not always possible with non-invasive imaging tests. A delay in surgical intervention while further investigations are performed, may increase morbidity and prolong hospital stay. The diagnostic and therapeutic laparoscopy allows perfect visual examination of the peritoneal cavity and further makes histological diagnosis of target biopsy under vision possible. This study was carried out an analysis of change in the management of the patients after diagnostic laparoscopy, complications of the procedure during follow up period of 6 months after discharge. Material and Methods: A total of 50patients admitted with abdominal pain of less than 7 days duration where other clinical symptoms and investigations were not conclusive needing exploratory laparotomy were considered for diagnostic laparoscopy previous to the planned laparotomy. Results: Out of the 50 NSAP patients, 19 (38%) were male and 31 (62%) were females. Most of the patients were between 21-40 years age group. Diagnostic laparoscopy could identify pathology in 33 out of 50 patients. But, together with group B patients with no pathology identified, diagnostic laparoscopy alone could help diagnosing 41 i.e. 82% of the patients. These was no diagnostic laparoscopy related complications or morbidity. Discussion: Early diagnostic laparoscopy and treatment results in the accurate, prompt, and efficient management of acute abdominal pain. In patients with acute abdomen with no specific localization, without either perforation or intestinal obstruction on X-ray study, a median laparotomy is the classical approach to reach a diagnosis and treat the problem.
Authors and Affiliations
Ganesh Swami, Anmod G L, Gagan Dhal
Keywords
Related Articles
- EP ID EP212251
- DOI -
- Views 266
- Downloads 0
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...
Clinical profile of patients with inguinal hernias
In the early part of the first century A.D., Celsus14, a famous Roman surgeon described the operation in vogue at the time in the Greek-Roman era. He gave an elaborate description of anatomy, pathology, and etiology of i...
Perforator based flaps in leg reconstruction
Background: Perforator flaps have recently become ubiquitous in the field of plastic surgery. To understand and appreciate their unique nature, it is necessary to compare and contrast them with the development of other t...
Clinical profile of patients with inguinal hernia at a tertiary care hospital
Background: The weight of abdominal contents is directed forward and creates downward away from the inguinal region into anterior wall of the upper abdomen. So inguinal canal is not subjected to significant gravitational...
Retrospective analysis of etiological factors and clinical presentation of pancreatitis in patients of a tertiary care hospital, south India
Background: The annual incidence of acute pancreatitis ranges from 13 to 45/100,000 persons and of Chronic pancreatitis, ranges from 5 to 12/ 100,000. Alcoholic pancreatitis is one of the predominant causes of pancreatit...