Role of elective laparoscopic appendicectomy for chronic right lower quadrant abdominal pain
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2018, Vol 17, Issue 3
Abstract
Backround : Chronic right lower quadrant abdominal pain is still a diagnostic challenge. When other pathologies are ruled out and conservative modalities fail, elective laparoscopic appendicectomy has got a definitive role in this subset of patients.Aim : To study the role of elective laparoscopic appendectomy for chronic or recurrent right lower quadrant pain .Methodology :It is a prospective and observational study which includes patients with chronic or recurrent right lower quadrant pain for more than three months in Rajiv Gandhi Government General Hospital during the time period of Jan 2015 to Sep 2015..After laparoscopic appendicectomy patients were followed up at 6 weeks and 3 months and a pain score was assigned. Histopathology of removed appendix was also analysed. Results:40 patients ( 80% ) showed relief of pain and 8 patients ( 16% ) showed remarkable pain relief , while 2 patients (4%) still complained of right lower quadrant pain after 6 weeks. 45 patients ( 90% ) showed relief of pain and 5 patients ( 10% ) complained of right lower quadrant pain persistence after 3 months. 12 patients ( 24% ) had acute features of inflammed appendix, 14 patients (28%) had chronic histopathological features and 24 patients ( 48% ) had normal featuresConclusion: In patients with chronic right lower quadrant abdominal pain, elective laparoscopic appendectomy could be an effective therapeutic procedure in properly selected patients. Histopathological findings of the removed appendix does not contribute in establishing the diagnosis in these patients
Authors and Affiliations
Dr. A. Affee Asma, Dr. G. Kannan
Keywords
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- EP ID EP369240
- DOI 10.9790/0853-1703063740.
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