Role of diagnostic laparoscopy in patients with non-specific abdominal pain and its correlation with clinical and radiographic findings

Kumar, Rajeev; Saxena, Neeraj K.; Chaudhary, Poras; Ahirwar, Neelam; Gautam, Santosh; Munjewar, Chandrakant; Nabi, Ishaq; Ranjan, Gyan

doi:10.1007/s13126-016-0330-x

Hellenic J Surg

2016

DOI: 10.1007/s13126-016-0330-x

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Role of diagnostic laparoscopy in patients with non-specific abdominal pain and its correlation with clinical and radiographic findings

Rajeev Kumar

Neeraj K. Saxena

Poras Chaudhary

et al.

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Cited by 2 publications

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“…Laparoscopy is as much a surgical procedure as exploratory laparotomy but less invasive, less disabling and disfiguring and yet just as informative as conventional techniques. 2 It can provide almost the same information as exploratory laparotomy but with far less discomfort, cosmetic compromise, operative risk and expense to the patient. 3 Diagnostic laparoscopy has been in the armamentarium of the surgeon and gynecologist for many years as a useful technique for evaluating pelvic pathology as it allows a surgeon to look directly at the contents of a patient's abdomen or pelvis, including the fallopian tubes, ovaries, uterus, small bowel, large bowel, appendix, liver, and gallbladder.…”

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confidence: 99%

Laparoscopy: a tool for undiagnosed pain abdomen

Sharma

Sethi

2018

Int Surg J

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Background: Diagnostic laparoscopy has been in the armamentarium of the surgeon and gynaecologist for many years as a useful technique for evaluating pelvic pathology and it is now one of the most frequently performed laparoscopic procedures. The purpose of this study is to evaluate the role of diagnostic laparoscopy in undiagnosed pain abdomen. The Objectives of this study is to evaluate laparoscopy as a diagnostic tool in cases of undiagnosed abdominal pain where clinical symptoms and investigations are not conclusive and to evaluate benefits and complications of diagnostic laparoscopy.Methods: The study was done in 60 patients, presenting with chronic undiagnosed pain abdomen to a tertiary care hospital. All the patients were operated under general anesthesia in supine position. Diagnostic laparoscopy was done using 3 ports, one umbilical 10 mm, other two depending upon possible pathology. After the study, the data was analyzed to evaluate the role of laparoscopy in undiagnosed abdominal pain.Results: Out of 60 patients, 44 were female and 16 males. On diagnostic laparoscopy, findings were- chronic appendicitis - 31, chronic appendicitis with left ovarian cyst - 1, endometriosis with adhesions - 3, PID - 5, PID with adhesions - 3, suspected TB (GI/Genital) - 4, adhesions - 12, negative diagnostic lap - 1. So it may be concluded that diagnostic laparoscopy is a very useful tool to establish diagnosis in patients with undiagnosed abdominal pain with the following benefits are, superior diagnostic ability, better visualization of the abdominal cavity including the paracolic gutters and the pelvis, able to pin point the sites of adhesions with adhesiolysis during the same procedure, retrieval of specimen for histopathological examination, management of the pathology during the same procedure, avoiding unnecessary laparotomy, low complication rate.Conclusions: Laparoscopy is an efficient tool in the armamentarium of the surgeon to diagnose the patients of undiagnosed pain abdomen with numerous benefits and minimal complications.

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mentioning

confidence: 99%

Laparoscopy: a tool for undiagnosed pain abdomen

Sharma

Sethi

2018

Int Surg J

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Laparoscopic versus open appendectomy in the management of chronic appendicitis

Abdelgawaad,

Elnabi Abd Elrazik,

Badee

et al. 2023

The Egyptian Journal of Surgery

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Background The term ‘chronic appendicitis’ (CA) is still clearly undefined. However, once established, it necessitates appendectomy, which could be performed via open or laparoscopic approaches. Comparisons between the two approaches have been made in acute appendicitis cases, with no previous trials including CA patients. That is why we conducted this study to compare these two approaches in the management of CA patients. Methodology 50 CA were included in our prospective trial, and they were randomly assigned into two groups; the OA group (25 open appendectomy patients) and the LA group (25 laparoscopic appendectomy cases). Results The statistical analysis revealed no significant differences between the two groups regarding most preoperative characteristics. The laparoscopic approach was associated with significant prolongation in operative time that had an average of 1 h in the LA group, while it ranged between 0.5 and 1 h in the OA group (P = 0.005). Nonetheless, laparoscopy led to a significantly better postoperative recovery profile, manifested in the shorter hospitalization period (1 vs. 2 days in the open approach) and less postoperative pain (all patients with mild pain compared with moderate pain in the open group). Only 2 (8%) casesexperienced temporary vomiting in the OA group. Conclusion Laparoscopy is superior to the open approach in the management of chronic appendicitis patients. It is associated with a better analgesic profile, a shorter hospitalization period, and a better chance of detecting other concomitant intraabdominal pathologies. However, the increased operative time should be considered.

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Role of diagnostic laparoscopy in patients with non-specific abdominal pain and its correlation with clinical and radiographic findings

Cited by 2 publications

References 8 publications

Laparoscopy: a tool for undiagnosed pain abdomen

Laparoscopy: a tool for undiagnosed pain abdomen

Laparoscopic versus open appendectomy in the management of chronic appendicitis

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