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
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