Role of Laparoscopy in Diagnosing and Treating Acute Nonspecific Abdominal Pain

Abstract

BackgroundNonspecific abdominal pain (NSAP) is a pain for which no immediate cause is evident on acute admission and does not necessitate emergency surgical intervention. NSAP is a frequent reason for presentation in the emergency department (ED). Laparoscopy is a well-established technique that allows a surgeon to visualize the abdominal cavity after insufflation through a few small incision ports. Despite the increasing availability of laparoscopic investigation, the availability of a laparoscope in the ED settings in Pakistan is low due to the expense and maintenance needs of the system. ObjectiveThis study aimed to evaluate the role of laparoscopy in diagnosing the cause of acute NSAP and its role in treating the pathology of disease in patients presenting to the emergency department (ED) of Services Hospital, which is a government sector hospital in Lahore, Pakistan.

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“…Diagnostic laparoscopy is used as the last diagnostic resource in patients with acute abdominal conditions of unclear etiology. In patients with high suspicion of an acute abdomen without a cause identified after extensive diagnostic workup, diagnostic laparoscopy may be an option and should be performed by a team with a high level of expertise in laparoscopy and emergency surgery [14,29,30]. Especially in the emergency setting, where patients might be critically ill, having certified and trained surgeons who perform laparoscopy regularly is of paramount importance as the delicacy in handling structures and the time spent in performing the diagnostic procedure can drastically change the outcome of the patient.…”