The role of diagnostic laparoscopy in chronic abdominal pain

Autor:	Rahul Borude, Sandesh Deolekar, Bibekananda Mahapatra
Rok vydání:	2020
Předmět:	medicine.medical_specialty medicine.diagnostic_test business.industry Incidence (epidemiology) medicine.medical_treatment Physical examination Diagnostic laparoscopy Appendix Surgery medicine.anatomical_structure Laparotomy medicine In patient Chronic abdominal pain business Laparoscopy
Zdroj:	International Journal of Surgery Science. 4:17-21
ISSN:	2616-3470 2616-3462
DOI:	10.33545/surgery.2020.v4.i1a.304
Popis:	Background: Chronic abdominal pain (CAP) can be a diagnostic challenge inspite of being subjected to myriad of tests. The aim of this study was to assess the efficacy of laparoscopy in diagnosing patients having CAP of unknown origin and providing them best possible treatment. Methods: We studied 50 patients having CAP for ≥3 mons, with unremarkable clinical examination & basic investigations and unyielding imaging studies to assess the overall efficacy of diagnostic laparoscopy in finding a cause of CAP and response to pain after 3 months of procedure. Results: Highest incidence (32%) of CAP was seen in age group of 31-40 years. Pain relief was achieved in 92% cases post-laparoscopy. Most common observation on laparoscopy was abnormal appendix (30%), followed by abdominal tuberculosis (24%).10% cases required conversion to open laparotomy. Laparoscopic diagnosis correlated with histopathological findings in 95.5% cases. Conclusion: Diagnostic laparoscopy is a better, relatively cost-effective, and efficient method of establishing the diagnosis in patients with CAP.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_________::9c0f08d7e5e0c1e0d4492561dbc45e06 https://doi.org/10.33545/surgery.2020.v4.i1a.304 Zobrazit plný text záznamu