Evaluation of Role of Preoperative Laparoscopy in Abdominal Malignancies.

Nichkaode, Prabhat B.; Dasgupta, S.; Choudhary, Aditya; Panchbhai, Kapil; Zamad, Rahul; Tulaskar, Nilesh

doi:10.14260/jemds/566

Cited by 5 publications

(6 citation statements)

References 18 publications

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“…Therefore, the placebo effect of laparoscopy may explain at least partly the patient's pain relief. 25 In our study 43 (86%) patient had pathological findings identified at the time of laparoscopy. Miller et al reported that laparoscopy provided diagnoses in 89.8% of patients.…”

Section: Discussionmentioning

confidence: 56%

Role of diagnostic laparoscopy in chronic abdominal pain

Hussain

Haideri

2019

Int Surg J

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Background: Chronic abdominal pain is a common disorder both in general practice and in hospitals. Although patients with this type of pain may have undergone numerous diagnostic workups, including surgery, their pain remains a challenge to all known diagnostic and treatment methods. Laparoscopy can identify abnormal findings and improve the outcome in patients with chronic abdominal pain, as it allows surgeons to see and treat many abdominal conditions that cannot be diagnosed otherwise.Methods: A prospective longitudinal study was conducted from August 2016 to September 2017 in the Surgery Department of Vinayaka Missions Kirupananda Variyar Medical College, Salem. 50 patients with abdominal pain for 3 months and above were included in the study. Detailed history was recorded from patients and thorough clinical examination was performed. The findings were recorded in the proforma.Results: The most common laparoscopy finding among the study subjects was dense adhesions (26%) followed by abdominal TB (18%) and mesenteric lymphadenopathy (16%). 88% of the study subjects had a total relief of their abdominal pain and 6% of the patients felt that the pain was reduced and for the remaining 6% the pain was still persistent.Conclusions: The efficacy of diagnostic laparoscopy was 90% in the current study. Laparoscopy has an effective diagnostic role in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause. The therapeutic value of diagnostic laparoscopy is also accepted, well-appreciated, and it cannot be underestimated.

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Section: Discussionmentioning

confidence: 56%

Role of diagnostic laparoscopy in chronic abdominal pain

Hussain

Haideri

2019

Int Surg J

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“…Detail visualization of surface anatomy of intra-abdominal organs and establishment of intra-abdominal pathology became possible with the help of diagnostic laparoscopy for the surgeons. Specific advantage of laparoscopy for both the surgeons and the patients is that it provides specific answers related to pathology and confirms that nothing serious is found intra abdominally [8].…”

Section: Discussionmentioning

confidence: 89%

“…In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provides accurate diagnosis, helps to plan surgical treatment, improves the outcome in the majority of patients with chronic abdominal pain and allows surgeons to diagnose and treat many abdominal conditions that cannot be properly managed otherwise [8].…”

Section: Introductionmentioning

confidence: 99%

Diagnostic and Therapeutic Value of Diagnostic Laparoscopy in Patient with Chronic Abdominal Pain

Ahmed¹

2015

Emerg Med (Los Angel)

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Introduction: Chronic abdominal pain is a troublesome dilemma confronting both the medical and surgical care professionals. These patients are submitted to a lot of diagnostic investigations but, regretfully, no precise etiology of their problem could be elucidated. Diagnostic laparoscopy, apart from visualizing the entire abdominal cavity, allows us to take precise biopsies. Laparoscopy also offers a therapeutic solution for many causes of chronic abdominal pain.Patient and Methods: Patient with the inclusion criteria underwent diagnostic laparoscopy for chronic abdominal pain over the last three years from January 2011 to December 2013. The patient's demographic data, duration of abdominal pain, diagnostic studies, intra-operative findings, interventions and follow-up results were recorded.Results: In this study, 80 patients (55 female and 25male) with an average age of 23 ± 14.76 years underwent diagnostic laparoscopy for the evaluation and treatment of chronic abdominal pain. The average duration of pain was 8 ± 2.85 months. Findings included intra-abdominal tuberculousis in 4 patients, internal herniation in 2 patients, significant intra-abdominal adhesions in 18 patients, secondary intessusception in 2 patients, small intestinal stone in 1 patient, intestinal lymphoma in 1 patient, abdominal lymphadenopathy due to lymphoma in 2 patients, cecal diverticulum in 2 patients and subacute appendicitis in 19 patients, jejunal diverticulum in 1 patient, Chron's disease in 2 patients, endometriosis in 3 patients and inflamed Meckle's diverticulum in 1 patient. Conclusion:Diagnostic laparoscopy is a simple, rapid, effective and accurate tool in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause with the advantage that it is an effective therapeutic and accessible tissue sampling tool.

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“…The most common organic disorders include intestinal adhesions, biliary causes, and appendicular causes, while functional disorders include irritable bowel disease, functional dyspepsia, and various motility disorders. 3 In spite of strong diagnostic workups, 40% of the patients with chronic abdominal pain did not have specific diagnosis at the end. 4 Many patients remain undiagnosed even after excluding the common disorders by meticulous investigations, and pose a significant diagnostic challenge to the physician.…”

Section: Introductionmentioning

confidence: 99%

Role of Diagnostic Laparoscopy in Chronic Abdominal Pain with Uncertain Diagnosis: A 1-year Cross-sectional Study

Bellad¹,

Murgod²

2019

World Journal of Laparoscopic Surgery With DVD

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Aim: Diagnosis of chronic abdominal pain is a significant clinical challenge. Laparoscopy, a minimally invasive technique, could potentially be diagnostic as well as therapeutic in patients with chronic undiagnosed abdominal pain. This study was aimed to evaluate the role of laparoscopy as an investigative modality in the diagnosis and management of patients with chronic abdominal pain. Materials and methods: Demographics, clinical data, and medical and surgical history of the patients (55 patients) with chronic abdominal pain were noted. Details of pain such as, severity of pain based on visual analog scale (VAS) score, duration of pain, site of pain, and nature of pain were recorded. Routine along with radiological investigations were also performed. After preoperative investigations, the patients were subjected to diagnostic laparoscopy, either by open or closed technique under general anesthesia. Postoperative assessment of pain was done using VAS score. Results: Most of the patients (65.45%) had a duration of pain between 8 weeks and 12 weeks and mean duration of pain was 10.80 ± 2.78 weeks. Fever was present in 41.82% of the patients. A history of lower segment cesarean section was observed in 5.45% patients. The most common surgical procedure performed was adhesiolysis (30.91%) followed by appendectomy (29.09%). Postoperative pain relief was statistically significant (p < 0.001). Conclusion:Laparoscopy offers an effective diagnostic modality and excellent pain relief in the management of patients with chronic abdominal pain. Furthermore, adhesions and inflamed appendix are important causes of chronic abdominal pain. However, studies with a large sample size are required to validate the findings. Clinical significance: Laparoscopy is an investigative modality in the diagnosis and management of patients with chronic abdominal pain.

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Evaluation of Role of Preoperative Laparoscopy in Abdominal Malignancies.

Cited by 5 publications

References 18 publications

Role of diagnostic laparoscopy in chronic abdominal pain

Role of diagnostic laparoscopy in chronic abdominal pain

Diagnostic and Therapeutic Value of Diagnostic Laparoscopy in Patient with Chronic Abdominal Pain

Role of Diagnostic Laparoscopy in Chronic Abdominal Pain with Uncertain Diagnosis: A 1-year Cross-sectional Study

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