Tuberculous Peritonitis and Role of Diagnostic Laparoscopy

Massive panniculectomy: a novel method of treatment of postlaparotomy wound dehiscence in morbid obesity

“…In the past, this required laparotomy 4 even though the potential for laparoscopy was known before the advent of video laparoscopy. 5 We agree with the previous report 1 on the value of laparoscopy, but we found a false-positive rate of 18%. We suggest that the laparoscopic diagnosis of TB peritonitis be confirmed by histopathology of peritoneal lesions or ascitic fluid analysis for ADA greater than 33 U/L, depending on the local availability of these tests.…”

A prospective audit of the use of diagnostic laparoscopy to establish the diagnosis of abdominal tuberculosis

“…17,56 Furthermore the volume of patients with this malignancy and other opportunistic infections. 51,57,58,59,60 Until recently laparotomy was the only available diagnostic procedure to obtain adequate tissue to make a definitive diagnosis of abdominal tuberculosis. Many patients who present with signs and symptoms of an acute abdomen are subjected to emergency laparotomy.…”

“…62,63 There are several other small series of peritoneal biopsy in the 60's, 70's and 80's. 57,64,65 The procedure carries a high risk of complications like bowel perforation, bleeding, and even death. 66,67,68 The main contraindication to blind percutaneous peritoneal biopsy is the absence of ascites.…”

Tuberculous Peritonitis

“…Laparoscopy is also used with some success in this con dition [11]. These latter two procedures, however, do carry some risk of intestinal injury [12].…”