Evaluation of diagnostic laparascopy in chronic abdominal pain in Tertiary Care Hospital
Journal Title: MedPulse -International Medical Journal - Year 2015, Vol 2, Issue 11
Abstract
Introduction: Chronic abdominal pain is nightmare for patients and challenge for physician, surgeon and gynecologist. More than 40% patients remain undiagnosed after thorough physical, pathological and radiological investigations. Chronic abdominal pain leads to depressive symptoms and alter quality of life of patient. Chronic abdominal pain can be organic or functional. Organic causes are adhesions, appendicitis, pelvic inflammatory disease, tuberculosis. Functional causes are irritable bowel disease, motility disorders. With application of laparoscopic procedure many of such cases are diagnosed and at same time help in therapeutic intervention in selected cases. It is safe, minimal invasive technique. Objective: The main objective of the study is finding out cause of chronic abdominal pain, role of therapeutic intervention and outcome and safety of diagnostic laparoscopy. Material and Methods: Selected 50 patients were undergone diagnostic laparoscopy. All patients were operated in BJMC Ahmedabad between September 2010 to June 2012 in department of surgery, B. J. Medical College and Civil Hospital, Ahmedabad, Gujarat. (INDIA). Operative, postoperative and follow up data were collected and evaluated. Result: Definitive diagnosis was made in 42 out of 50 cases. Positive outcome inform of symptoms and pain came in 35 out of 50 cases at the end of six month follow up. There was no mortality or major morbidity in my study. Diagnostic laparoscopy is safe, effective and minimal invasive method for chronic abdominal pain.
Authors and Affiliations
Umesh Vaishnav, Kesharmal Kesharmal
Keywords
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