Role of laparoscopy in nonspecific abdominal pain

Ahmad, Muzaffar; Dar, Hanief Mohamed; Waseem, Malik; Wani, Hilal Ahmad; Nazir, Irfan; Jeelani, Asif

doi:10.4103/2320-3846.147021

Cited by 10 publications

(18 citation statements)

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“…5 (6.7%) patients had normal findings. This finding was consistent with the studies of Ahmad et al, Lingala et al, Baria et al, Kumar et al and Parray et al [11][12][13][14][15][16] Ahmad et al study assessing the role of laparoscopy in undiagnosed abdominal pain observed laparoscopic showed inflamed appendix, appendicular fecoliths, enlarged mesenteric lymph nodes, salpingitis, omentum at deep ring, adhesions in pelvis, fluid in cul-de-sac and ovarian cyst, diverticulitis. Final diagnosis was made in 75 (85.2%) patients.…”

Section: Resultssupporting

confidence: 91%

Role of diagnostic laparoscopy in chronic abdominal pain

et al. 2020

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Background: Chronic idiopathic pain syndromes are amongst the most challenging and demanding conditions to treat across the whole age spectrum. Despite these patients having undergone numerous diagnostic work-ups, their pain remains a challenge to all known diagnostic and treatment methods.Methods: To evaluate role of diagnostic laparoscopy in chronic abdominal pain a prospective observational study was done. The present study was conducted on patients with undiagnosed chronic abdominal pain coming to the Department of Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. 75 patients with chronic abdominal pain who attend the General Surgery Department (OPD) were included in the study. Patients were included in the study after taking their voluntary informed consent. The categorical variables were assessed using Pearson chi-square. The quantitative variables were assessed using T-test. The test was considered significant only if the p value comes out to be less than 0.05.Results: Based on the findings of the study after performing diagnostic laparoscopy for 75 patients with chronic abdominal pain it was found that most common finding was of appendicitis (32%) followed by abdominal Koch’s (24%) and post-operative pain relief using VAS showed p value of less than 0.05 at 3 months of follow up post diagnostic laparoscopy.Conclusions: The present study concluded that laparoscopy is 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 advantage of diagnostic laparoscopy over non-invasive methods is the ability to perform therapeutic procedure at the same time in cases of chronic abdominal pain. Diagnostic laparoscopy is safe, cosmetically better and having less morbidity.

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Section: Resultssupporting

confidence: 91%

Role of diagnostic laparoscopy in chronic abdominal pain

et al. 2020

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“…15 As many as 14.7% of patients still remained undiagnosed despite all of the described imaging modalities.…”

Section: Discussionmentioning

confidence: 99%

Appendicular agenesis: a case report

2018

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“…Study done by Ahmad MM, et al show most common cause of nonspecific abdominal pain was appendicitis. 7 In present study, 5 patients with no visible gross abnormality had undergone laparoscopic appendectomy and 4 (80%) patients were relieved of pain on follow up. Study done by Fayez JA, et al show finding of abnormality in appendix was 92% in appendectomy patients of chronic lower abdominal pain.…”

Section: Discussionmentioning

confidence: 99%

“…Some times with recurrent right iliac fossa pain remain despite normal radiological finding and with recurrent antibiotic treatment. [5][6][7] And in these cases, diagnostic laparoscopy is choice which provides diagnosis and treatment mostly in single sitting. [5][6][7] Diagnostic laparoscopy alleviates the pain in most of cases.…”

Section: Introductionmentioning

confidence: 99%

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Analysis of diagnostic laparoscopy in chronic right iliac fossa pain

Vaishnav

Patel

2017

Int Surg J

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Background: Chronic right iliac fossa pain with normal radiological and laboratory finding is common indication for diagnostic laparoscopy by general surgeon. Most common cause of chronic right iliac fossa pain is appendicitis. Laparoscopic appendectomy is commonly done in diagnostic laparoscopy if other cause is not found.Methods: Patients of all the age group and either gender, undergone diagnostic laparoscopy for chronic right iliac fossa pain longer than 3 months with normal radiological finding in the surgical department. Diagnostic and therapeutic role of laparoscope was assessed.Results: 83% patients were showing visible positive finding on diagnostic laparoscopy. On follow up after 1 month, 90% patients show reliving of pain.Conclusions: Diagnostic laparoscopy is minimal invasive surgical procedure. It is useful when other pathological and radiological investigations are inclusive.

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Role of laparoscopy in nonspecific abdominal pain

Cited by 10 publications

References 1 publication

Role of diagnostic laparoscopy in chronic abdominal pain

Role of diagnostic laparoscopy in chronic abdominal pain

Appendicular agenesis: a case report

Analysis of diagnostic laparoscopy in chronic right iliac fossa pain

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