JOURNAL OF EVIDENCE BASED MEDICINE AND HEALTHCARE

Table of Contents

2018 Month : July Volume : 5 Issue : 28 Page : 2113-2117

A STUDY OF DIAGNOSTIC LAPAROSCOPY IN CHRONIC ABDOMINAL PAIN

Ramesh Lingala1

Corresponding Author:
Dr. Ramesh Lingala,
Assistant Professor,
Gandhi Medical College and Hospital,
Secunderabad, Telangana.
E-mail: rameshlingala23@gmail.com
DOI: 10.18410/jebmh/2018/438

ABSTRACT
BACKGROUND
Chronic abdominal pains are amongst the abdominal conditions most difficult to manage. Chronic abdominal pain is a difficult complaint.1 Most patients in this group would have already undergone many diagnostic procedures. Clearly, diagnostic laparoscopy is an important intermediate option between refusing to explore a patient’s abdomen and performing a laparotomy.

MATERIALS AND METHODS
This is a prospective study, done on patients admitted in General Surgery in Gandhi Hospital between August 2013 to September 2015.

RESULTS
Our study of 84 patients with chronic pain abdomen showed a peak incidence of chronic pain abdomen in the third decade with female preponderance. Around 48 (57.14%) of patients in our study had undergone a previous surgery. The next most common finding at laparoscopy in our study was a normal study (13%). Recurrent appendicitis was our per operative diagnosis in 11.9% of our patients.

CONCLUSION
Diagnostic laparoscopy has a high diagnostic and therapeutic efficacy. Not only does laparoscopy point to a diagnosis, it has the added advantage that therapeutic intervention can be done at the same sitting in most cases thus avoiding another hospitalization or another exploration of the abdomen.

KEYWORDS
Diagnostic laparoscopy, chronic abdominal pain.