Volume : VI, Issue : VIII, August - 2016

The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain

Dr Mir Mohd. Noor Ul Hassan, Dr Attenbirth Sangma, Dr Bhanu Prakash, Dr Prashanth Kumar Bhure

Abstract :

 Diagnostic laparoscopy has become an integral part of general surgical procedures with the recent advancements in laparoscopic technology. Since surgeons are more oriented in viewing and dissection of different intra–abdominal areas and are proficient in the definitive management of complications in the procedures, diagnostic laparoscopy may be better off in the hands of surgeons. Laparoscopy has proved to be an important tool in final minimally invasive exploration for selected medical patients with chronic abdominal disorders, the diagnosis of which remains uncertain despite employing the requisite laboratory and non–invasive imaging investigations. This retrospective study was done to evaluate the accuracy of elective diagnostic laparoscopy in patients with chronic abdominal disorders and its impact on the management of these patients. Materials and Methods : Thirty two patients with chronic abdominal pain were included in this prospective descriptive cross–sectional study. The pain in all patients was of unclear etiology despite all the investigative procedures. All patients were subjected to laparoscopic evaluation for their conditions. The findings and outcomes of the laparoscopy were recorded and analyzed. Results : The most common site of pain was the periumbilical region (43%). A definitive diagnosis was made in 30 patients while two patients has no obvious pathology. Reccurent appendictits were the most common laparoscopic findings ( 62.5%)followed by post operative adhesions (12.5%), , gall bladder pathology (6.25%), tuboovarian (6.25%) and abdominal TB (3.1%). Two patients were no obvious pathology was found prophylactic appendiccetomy was done. Postoperatively, painrelief was achieved in 28 patients (87.5%) after six months. Conclusion : Laparoscopy is an effective diagnostic and therapeutic modality in the management of patients with chronic abdominal pain. 

Keywords :

Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

Dr Mir Mohd. Noor ul Hassan, Dr Attenbirth Sangma, Dr Bhanu Prakash, Dr Prashanth Kumar Bhure The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain Indian Journal of Applied Research,Volume : 6 | Issue : 8 | August 2016

Number of Downloads : 590

References :

<p><pre></pre></p>