Assessing the Efficacy and Role of Diagnostic Laparoscopy in Subjects with Chronic Abdominal Pain

Most demanding and challenging conditions to manage across the globe in subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements have been made, pain in these subjects still presents a challenge for all available diagnostic and management methods. Objectives: The present study was conducted to assess the efficacy and role of diagnostic laparoscopy in the identification of the etiology of chronic abdominal pain which is not diagnosed. Methods: In 120 subjects with chronic abdominal pain with unknown etiology or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was done for all the subjects. The collected data were subjected to statistical evaluation and the results were formulated. Results: The present study showed that chronic abdominal pain was more prevalent in females compared to males with the most commonly involved site being the periumbilical region. The pain was most commonly seen at the peri-umbilical region with 43.33% (n=13) subjects reporting pain in this region followed by diffuse abdominal pain in 30% (n=36) study subjects, and lower and upper abdomen pain in 13.33% (n=4) subjects each. The duration of pain was 3-12 months in 3.33% (n=4) subject, 12-18 months in 43.33% (n=52) subjects, 18-36 months in 16.66% (n=) study subjects, and was more than 36 months in 36.66% (n=44) study subjects. The findings on laparoscopic examinations have shown that normal peritoneal cavity was seen in 20% (n=16) study subjects, Partial torsion ovarian cyst in 3.33% (n=4) and Koch’s abdomen/tuberculosis in 16.66% (n=20), Chronic cholecystitis in 3.33% (n=4) study subjects, Endometriosis in 6.66% (n=8), postoperative adhesions in 16.66% (n=20) study subjects, and recurrent appendicitis was seen in 33.33% (n=40) study subjects. Conclusion: The present study concludes that chronic abdominal pain is most commonly caused by recurrent appendicitis where diagnostic laparoscopy is efficacious and safe for diagnosing and managing these subjects.

(English)

Most demanding and challenging conditions to manage across the globe in subjects of all ages are chronic idiopathic pain syndromes. Various diagnostic advancements have been made, pain in these subjects still presents a challenge for all available diagnostic and management methods. Objectives: The present study was conducted to assess the efficacy and role of diagnostic laparoscopy in the identification of the etiology of chronic abdominal pain which is not diagnosed. Methods: In 120 subjects with chronic abdominal pain with unknown etiology or who were refractory to the treatment for more than 3 months. Diagnostic laparoscopy was done for all the subjects. The collected data were subjected to statistical evaluation and the results were formulated. Results: The present study showed that chronic abdominal pain was more prevalent in females compared to males with the most commonly involved site being the periumbilical region. The pain was most commonly seen at the peri-umbilical region with 43.33% (n=13) subjects reporting pain in this region followed by diffuse abdominal pain in 30% (n=36) study subjects, and lower and upper abdomen pain in 13.33% (n=4) subjects each. The duration of pain was 3-12 months in 3.33% (n=4) subject, 12-18 months in 43.33% (n=52) subjects, 18-36 months in 16.66% (n=) study subjects, and was more than 36 months in 36.66% (n=44) study subjects. The findings on laparoscopic examinations have shown that normal peritoneal cavity was seen in 20% (n=16) study subjects, Partial torsion ovarian cyst in 3.33% (n=4) and Koch’s abdomen/tuberculosis in 16.66% (n=20), Chronic cholecystitis in 3.33% (n=4) study subjects, Endometriosis in 6.66% (n=8), postoperative adhesions in 16.66% (n=20) study subjects, and recurrent appendicitis was seen in 33.33% (n=40) study subjects. Conclusion: The present study concludes that chronic abdominal pain is most commonly caused by recurrent appendicitis where diagnostic laparoscopy is efficacious and safe for diagnosing and managing these subjects. Files IJPCR,Vol16,Issue1,Article139.pdf Files (292.6 kB) | Name | Size | Download all | |---|---|---| | md5:52d5ccb53073bcb21ea67562a3fc1e0c | 292.6 kB | Preview Download | Additional details Dates - Accepted - 2024-01-18 Software - Repository URL - https://impactfactor.org/PDF/IJPCR/16/IJPCR,Vol16,Issue1,Article139.pdf - Development Status - Active

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