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

A study of outcome of patients with HIV undergone various surgical procedure at tertiary health care centre

Background: Highly Active Anti retro-viral therapy (HAART) has transformed infection with human immunodeficiency virus (HIV) from a disease leading to rapid decline and early death into a chronic, manageable condition. A...

A comparative study of RIPASA and ALVARDO scoring system in the clinical diagnosis of the acute appendicitis

Background: Acute appendicitis is the commonest cause of acute abdominal pain in the surgical practice. Correct clinical diagnosis prevents unnecessary surgeries and complications. Various scoring systems are there to ai...

A Study of the factors associated with the non-healing ulcers at tertiary health care centre

Background: An ulcer is defined as a full thickness loss of epidermis and some dermis, which heals with scarring. Aims and Objectives: To Study the factors associated with the non-healing ulcers at tertiary health care c...

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...

Comparing efficacy of retrograde intrarenal surgery with extra corporeal shockwave lithotripsy for lower pole renal calculi

Treatment of stone disease is based mainly on location of stone and stone burden. The shock wave lithotripsy (SWL), Percutaneous nephrolithotripsy (PCNL) to Retrograde Intra patient and stone characteristics. Our study a...

Download PDF file
  • EP ID EP212251
  • DOI -
  • Views 217
  • Downloads 0

How To Cite

Ganesh Swami, Anmod G L, Gagan Dhal (2017). Role of laparoscopy in the diagnosis and management of nonspecific abdominal pain. Medpulse International Journal of Surgery, 3(1), 19-23. https://europub.co.uk/articles/-A-212251