DIAGNOSTIC LAPAROSCOPY IN CHRONIC AND RECURRENT ABDOMINAL PAIN MANAGEMENT

Abhishek Jina, Abhinav Chaudhary, Usha Singh
In: International Journal of Medical and Biomedical Studies · 2020 · vol. 4(12) · doi:10.32553/ijmbs.v4i12.1578 · W3113315497
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This study investigated diagnostic laparoscopy in 51 patients with chronic abdominal pain, finding it to be a safe and effective method for identifying causes like chronic appendicitis, adhesions, and missed pathologies.

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This study investigated the use of diagnostic laparoscopy for diagnosing and managing chronic and recurrent abdominal pain of unknown origin in an outpatient population, enrolling 51 patients and recording demographics and postoperative outcomes after laparoscopic evaluation. The most common identified pathologies included chronic appendicitis (18%), and Koch’s abdomen and adhesions (16%); additional findings comprised cases of gallbladder carcinoma, metastatic peritoneal dissemination with ascites, cirrhosis, and endometriosis, as well as ectopic pregnancy and Crohn’s disease. Diagnostic confirmation was reported as direct visualization in 86% of cases, with remaining diagnoses supported by biopsy (74%) or fluid analysis, and the authors stated there were no long-term complications. This paper is centrally about endometriosis only insofar as it reports that endometriosis was detected in 3 cases during diagnostic laparoscopy for chronic abdominal pain of unknown origin.

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Abstract

Background: Chronic abdominal pain is a common condition encountered by many surgeons in their clinic every day. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated. Material and Methods: All the patients who visited the outpatient department with chronic abdominal pain were included in this study. All the demographic parameters were included and after careful investigation diagnostic laparoscopy were conducted in all these patients. The postoperative outcomes were also recorded in all the patients. Result: Total of 51 patients was included in this study. Among these patients 23 patients were male and 28 patients were female. Maximum of the patients were in the 31-40 years of age group. The most common pathology for chronic abdominal pain was chronic appendicitis (n=9, 18%) followed by Koch's abdomen and adhesions (n=8, 16%). There were 4 cases of Carcinoma of the gall bladder and 3 cases of metastatic disease with dissemination in the peritoneal cavity and ascitis. 3 cases of liver cirrhosis and 3 cases of endometriosis were also detected. 2 cases of ovarian cysts which were missed by USG were detected correctly by laparoscopy. There were two unusual cases, one of chronic ectopic pregnancy and another of Crohn's disease. All the above findings were confirmed by direct visualizing (86%), or by biopsy (74%) or by fluid analysis. There were no long term complications in our study. Conclusion: The present study concluded that laparoscopy is a safe and effective method for diagnosis of chronic abdominal pain. Keywords: Chronic abdominal pain, diagnostic laparoscopy, recurrent abdominal pain
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Background

Chronic abdominal pain is a common condition encountered by many surgeons in their clinic every day. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated.

Material and methods

All the patients who visited the outpatient department with chronic abdominal pain were included in this study. All the demographic parameters were included and after careful investigation diagnostic laparoscopy were conducted in all these patients. The postoperative outcomes were also recorded in all the patients.

Result

Total of 51 patients was included in this study. Among these patients 23 patients were male and 28 patients were female. Maximum of the patients were in the 31-40 years of age group. The most common pathology for chronic abdominal pain was chronic appendicitis (n=9, 18%) followed by Koch's abdomen and adhesions (n=8, 16%). There were 4 cases of Carcinoma of the gall bladder and 3 cases of metastatic disease with dissemination in the peritoneal cavity and ascitis. 3 cases of liver cirrhosis and 3 cases of endometriosis were also detected. 2 cases of ovarian cysts which were missed by USG were detected correctly by laparoscopy. There were two unusual cases, one of chronic ectopic pregnancy and another of Crohn's disease. All the above findings were confirmed by direct visualizing (86%), or by biopsy (74%) or by fluid analysis. There were no long term complications in our study.

Conclusion

The present study concluded that laparoscopy is a safe and effective method for diagnosis of chronic abdominal pain.

Keywords

Chronic abdominal pain, diagnostic laparoscopy, recurrent abdominal pain Downloads Published How to Cite Issue Section License Copyright (c) 2020 International Journal of Medical and Biomedical Studies This work is licensed under a Creative Commons Attribution 4.0 International License.

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endometriosis

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