Early laparoscopy for abdominal pain

Gupta, Arobinda; Kumar, Santosh; Chadha, Pradeep; Sethi, Rajiv K.; Pandey, Yadav

doi:10.1016/s0140-6736(05)72748-3

Cited by 9 publications

(8 citation statements)

References 4 publications

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“…Diagnostic laparoscopy should, thus, be considered as next step of the management. 14 The aim of our study was to demonstrate the usefulness of laparoscopy as a diagnostic tool which can be converted into a therapeutic tool at the same time. Diagnostic laparoscopy could diagnose 68 out of 79 cases of acute pain abdomen and 20 out 21 cases of chronic pain abdomen i.e.…”

Section: Discussionmentioning

confidence: 99%

Role of Diagnostic Laparoscopy in Cases of Acute and Chronic Abdominal Pain

Rao¹,

Babu²,

Chandrasekhar³

et al. 2019

jebmh

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BACKGROUND We wanted to evaluate the efficacy of laparoscopy as a diagnostic tool in the evaluation of pain abdomen, compare it with clinical examination and common radiological investigations like x-ray erect abdomen and ultrasound abdomen, demonstrate the occasions in which it is useful as a therapeutic tool and evaluate the benefits and complications of diagnostic laparoscopy. METHODS 100 cases of pain abdomen who presented to the outpatient and emergency departments were admitted and evaluated. They consisted of both male and female patients. The cases consisted of both acute and chronic abdomen evaluated over a period of 2 years i.e. from January 2017 to January 2019. RESULTS 100 cases of pain abdomen who presented to the outpatient and emergency department were evaluated. Diagnostic laparoscopy could diagnose 68 out of 79 cases of acute pain abdomen and 20 out of 21 cases of chronic pain abdomen. 49 out of 79 acute cases and 13 cases out of 21 chronic cases required surgery. 12 cases could not be diagnosed, out of these 9 patients had symptomatic relief. There were no complications in the series. CONCLUSIONS Diagnostic laparoscopy is simple, safe, easily available and diagnostically accurate, but it is invasive, traumatic and not the first choice for diagnosis. It is mostly useful for those with abdominal pain where definite cause could not be diagnosed with clinical examination or radiological investigations. It has reduced the number of negative laparotomies and in those cases requiring laparotomy.

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Section: Discussionmentioning

confidence: 99%

Role of Diagnostic Laparoscopy in Cases of Acute and Chronic Abdominal Pain

Rao¹,

Babu²,

Chandrasekhar³

et al. 2019

jebmh

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“…10 Pain is the most common symptom with which these patients present. [10][11][12][13][14][15] In this study more than 49% of the patients presented with pain in the different quadrants of the abdomen, with or without other complaints. Lymphadenopathy in different sites (17 patients, 28%) was the most common laparoscopic finding among these patients, due to different causes.…”

Section: Methodsmentioning

confidence: 99%

“…Again, some patients with intestinal and peritoneal tuberculosis, and abdominal growth remain undiagnosed till the advanced stage of the disease. 11 Some patients with subacute and chronic intestinal obstruction even gets symptom free with blind conservative treatment, and discharged undiagnosed only for coming back with more severe condition later on. In these cases and in many others, diagnostic laparoscopy is a blessing, and this very study shows that.…”

Section: Methodsmentioning

confidence: 99%

Laparoscopy as a Diagnostic Tool in Various Abdominal Conditions

Ahmed

Aziz²,

Ahmad

et al. 2018

J Shaheed Suhrawardy Med Coll

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Background: Laparoscopic surgery is now-a-days an established treatment option for diseases like Cholelithiasis, Appendicitis, Hernia etc. But laparoscopy also has a definite role in diagnosis of abdominal diseases. In many cases diagnostic dilemma remains after all basic investigations are done. In some cases clinical findings and investigation findings get contradictory. In both these issues, laparoscopy can play a vital role to achieve a specific diagnosis. In some cases tissue sample can also be obtained for histological diagnosis.Methods: It was a prospective cross-sectional study of 60 patients selected by randomized sampling method, both male & female, of various abdominal conditions who couldn’t be diagnosed by conventional interventions & gave informed written consent. It was done over two years period. We excluded patients with uncontrolled coagulopathy, hemodynamicaly unstable patients, patients having undergone multiple previous laparotomies and all patients younger than 12 years. Then the initial diagnosis, the laparoscopic diagnosis and the subsequent outcome of this group of patients were evaluated.Results: A definitive diagnosis was made in 86.66%( 52) of cases after laparoscopy while 13.34% (8) cases had no obvious pathology. Laparoscopy changed the clinical diagnosis in 20% (12) cases. Laparoscopic biopsy was taken in 18.33% (11) cases. Mean Operation time was 20 minutes.Conclusion: Diagnostic laparoscopy is a simple, rapid, effective and accurate tool in evaluating patients with various abdominal conditions in whom conventional methods of investigation have failed to elicit a certain cause.J Shaheed Suhrawardy Med Coll, June 2018, Vol.10(1); 31-35

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“…Diagnostic laparoscopy should, thus, be considered as step II of the management. 14 We were able to identify a pathology in 161/168 patients. Hence, our study reports a diagnostic yield of 95.8% for which is in accordance with other similar reports of high definitive diagnostic rates (between 86 and 100%) 1518 for early DL Salky, in his study was able to identify pathology in 69 of 70 patients.…”

Section: Discussionmentioning

confidence: 97%

Role of Diagnostic Laparoscopy in Patients with Acute or Chronic Nonspecific Abdominal Pain

Rubbia¹,

Faryal²,

Javeria³

et al. 2015

WJOLS

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Aim: The aim of our study was to evaluate and establish the role of diagnostic laparoscopy (DL) in unexplained/nonspecific abdominal pain (NSAP) in this era of therapeutic laparoscopy, and thus to analyze and support the theory of minimal access surgery in diagnosing and treating abdominal conditions. Materials and methods: In this prospective study included patients with abdominal pain of (i) more than 6 hours and less than 6 days duration (acute) and (ii) more than or equal to 6 months duration (chronic) were included whether presen ting as a surgical emergency or coming to surgical outpatient department (OPD) in whom a DL was performed after failure to achieve a diagnosis with conventional methods. The study included a total of 168 consecutive patients who fulfilled our inclusion criteria and underwent DL for NSAP. Their demo graphic and clinical data, admission dates and dates of sur gery were noted. Outcome of surgery was recorded and the data were analyzed to ascertain the role and diagnostic yield of laparoscopy in our department, both in acute and chronic abdominal pain of nonspecific nature. Patients were followed postoperative for 3 months for any recurrence of symptoms. Results: Laparoscopy yielded diagnoses in 161 of these patients giving a diagnostic yield of 95.8%. Appendicitis (39.2%), gynecological pathology (16%) and abdominal tuber culosis (8.9%) were the major findings. Therapeutic procedures were performed in 112 cases (66.6%) where peroperative pathology was identified. In 38 cases (22.6%) where there was strong clinical suspicion of appendicitis and no pathology could be identified peroperative, an appendectomy was performed. Twentyeight (73.6%) of these appendix specimens were found inflamed on subsequent histologic examination. There were no complications in this series. Conclusion: This study establishes the role of early DL as a safe procedure with high efficacy. Hence, it is an effective investigative tool in undiagnosed abdominal pain of both acute and chronic nature.

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Early laparoscopy for abdominal pain

Cited by 9 publications

References 4 publications

Role of Diagnostic Laparoscopy in Cases of Acute and Chronic Abdominal Pain

Role of Diagnostic Laparoscopy in Cases of Acute and Chronic Abdominal Pain

Laparoscopy as a Diagnostic Tool in Various Abdominal Conditions

Role of Diagnostic Laparoscopy in Patients with Acute or Chronic Nonspecific Abdominal Pain

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