Efficacy of Diagnostic Laparoscopy in Chronic Abdominal Pain: An Indian Perspective

Jadhav, Kavita V.

doi:10.18535/jmscr/v5i11.49

Cited by 1 publication

(5 citation statements)

References 3 publications

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“…In the present study, the most common site of abdominal pain ~ 20 ~ was right side of abdomen (40%) followed by diffuse pain all over the abdomen (22%), which is similar to the finding in the study by Kumar et al (37%), followed by diffuse pain (35%) [12] . Most common location of pain in the study by Sayed et al was right lower quadrant (34.5%) followed by diffuse pain (25.5%) [13] .…”

Section: Resultssupporting

confidence: 91%

“…[11] In the study by Naniwadkar et al reported complications in 5 cases (10%) of chronic abdomen during laparoscopy, of which 3 were post-operative and 2 were intra-operative -both being instrumental trauma over liver [15] . Miller K et al and Jadhav KV et al, in their studies, observed no postoperative complication post laparoscopy [17,12] .…”

Section: Resultsmentioning

confidence: 89%

“…In the study by Jadhav KV et al, laparoscopy observed abnormal findings in 85% of the cases, the most common finding being abdominal tuberculosis (38.33%) followed by appendicitis (26.7%) and adhesions (10%) [12] . In the study by Prasad S et al most common finding was appendicitis (30%) followed by abdominal tuberculosis (22%) [11] .…”

Section: Resultsmentioning

confidence: 94%

“…In the study by Sayed et al therapeutic interventions were carried out in 63.5% patients, while conversion to open laparotomy was required in 10.9% cases [13] . Therapeutic interventions were carried out in 70% and 53% cases in the studies by Prasad S et al and Kumar et al respectively [11,12] . Therapeutic laparoscopy or laparoscopy-assisted surgery was performed in 74% cases by Naniwadkar et al [15] Conversion rate of laparoscopy to laparotomy in chronic abdomen was required in 8%, i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Diagnostic accuracy of laparoscopy in the present study was 95.5%. Diagnostic accuracy of laparoscopy observed in the study by Sayed et al and Jadhav KV et al was 89.1% and 85% respectively [13,12] . Diagnostic accuracy observed in various other studies was as follows: Miller K et al (89.8%), Raymond et al (85.7%) [17,18] .…”

Section: Resultsmentioning

confidence: 99%

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The role of diagnostic laparoscopy in chronic abdominal pain

Deolekar¹,

Mahapatra²,

Borude³

2020

Int. J. Surg. Sci.

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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.

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Section: Resultssupporting

confidence: 91%