Exploratory laparoscopy for recurrent right lower quadrant pain in a pediatric population

Microlaparoscopy For Recurrent Abdominal Pain in Children

“…In the literature, diagnostic laparoscopy is often associated with a simultaneous appendectomy procedure, and the discussion in this area is mostly focused on the value of appendectomy in cases of recurrent right lower quadrant pain [4,6,7] . In accordance with other reports [4,5,9,10] , in the present study surgery was benefi cial for 88 % of patients with chronic abdominal pain; surgery was based on signifi cant intraoperative fi ndings in 40 % of patients, who required additional surgical therapy. In our study, no intraoperative or late postoperative complications were observed.…”

“…The role of conventional laparoscopy for the diagnosis and treatment of chronic abdominal pain syndromes remains controversial. However, in the literature, roughly 70 % of patients reported a benefi cial eff ect of laparoscopy, even though these benefi ts may be due to the so-called " placebo eff ect " of surgery [4,5,8,10] . In the literature, diagnostic laparoscopy is often associated with a simultaneous appendectomy procedure, and the discussion in this area is mostly focused on the value of appendectomy in cases of recurrent right lower quadrant pain [4,6,7] .…”

“…The use of 2.7-or 3.0 mm instruments is mentioned for the laparoscopic management of pediatric hernias [3] . Nonspecifi c recurrent abdominal pain in children and adolescents is observed in up to 30 % of the population [4,5] . Many of these children require repeated hospitalizations, yet despite extensive diagnostic evaluation and baseline investigations, usually no identifi able cause is established for their pain.…”

Laparoscopic Exploration Diagnoses Porocephalosis in Children: 2 Case Reports and a Review of the Literature

“…But with the increase in travel, the incidence of rare parasitic diseases may increase also in Western countries. Laparoscopy has made exploration much less invasive and is an option for diagnostic and therapeutic treatment [8] . However, to our knowledge, this is the fi rst report of porocephalosis diagnosed by laparoscopy.…”

Chronic abdominal pain in children: help in spotting the organic diagnosis

“…However, there is also some evidence to support the use of elective diagnostic laparoscopy±appendicectomy in children with chronic RLQ pain. A study of 44 children undergoing diagnostic laparoscopy and appendicectomy for chronic RLQ pain identified intra-operative pathologies in 45% including: six Meckel's diverticulum, three inflamed appendix, four with adhesions to the caecum, four mesenteric adenitis, two hernia and one ovarian cyst 20. On histology, 73% had abnormalities of the appendix, including signs of acute/chronic appendicitis or faecolith, one carcinoid tumour and one Crohn's disease.…”