A Prospective Study of Diagnostic Laparoscopy in Patients Presenting with Chronic Abdominal Pain at SBMCH

In: Journal of Research in Medical and Dental Science · 2021 · vol. 9(6) , pp. 78–84 · W3166361396
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This study evaluated the diagnostic and therapeutic value of laparoscopy for chronic abdominal pain in undiagnosed patients, finding endometriosis in 33% and pelvic adhesions in 24%.

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This prospective study evaluated the diagnostic and therapeutic value of diagnostic laparoscopy in patients with chronic abdominal pain who had undiagnosed or doubtful etiologies after routine laboratory tests and imaging at SBMCH. Patients’ clinical presentations and intraoperative findings were recorded, including occult causes and postoperative clinical improvement, and laparoscopic findings were correlated with clinical and radiographic findings to estimate accuracy and efficacy. The authors report that endometriosis was found in 33% of patients and pelvic adhesions in 24%, while no pathology was identified in 33% to 50%, indicating a substantial rate of unrevealed causes or limitations of detecting pathology. This paper is centrally about endometriosis — it reports endometriosis detection rates among laparoscopic findings in chronic abdominal pain patients.

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Abstract

To evaluate the diagnostic and therapeutic value of laparoscopy in chronic abdominal pain. Patients with chronic abdominal pain, undiagnosed and with doubtful diagnosis by routine laboratory and imaging modality were enrolled in this study, their clinical presentation, intra operative findings, various occult etiology and clinical improvement were evaluated in this group, which will improve the awareness and importance of diagnostic laparoscopy among the surgeons. To correlate the laparoscopic findings with clinical and radiographic findings in all patients with chronic non-specific abdominal pain, the various unrevealed etiology for chronic abdominal pain and analyses the accuracy and efficacy of diagnostic laparoscopy in chronic abdominal pain. Studies show endometriosis found in 33% and pelvic adhesion in 24% of patients but no pathology was made out in 33% to 50% of the patient.
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A Prospective Study of Diagnostic Laparoscopy in Patients Presenting with Chronic Abdominal Pain at SBMCH Author(s): Muzamil Ahmed A and Santhaseelan RG* Abstract To evaluate the diagnostic and therapeutic value of laparoscopy in chronic abdominal pain. Patients with chronic abdominal pain, undiagnosed and with doubtful diagnosis by routine laboratory and imaging modality were enrolled in this study, their clinical presentation, intra operative findings, various occult etiology and clinical improvement were evaluated in this group, which will improve the awareness and importance of diagnostic laparoscopy among the surgeons. To correlate the laparoscopic findings with clinical and radiographic findings in all patients with chronic non-specific abdominal pain, the various unrevealed etiology for chronic abdominal pain and analyses the accuracy and efficacy of diagnostic laparoscopy in chronic abdominal pain. Studies show endometriosis found in 33% and pelvic adhesion in 24% of patients but no pathology was made out in 33% to 50% of the patient.

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endometriosis

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