Study to Evaluate the Role of Laparoscopy in Chronic Abdominal Pain

Lal, Vikash; Deolekar, Sandesh; Shaikh, Tanveer Parvez; Narayan, Pranav

doi:10.5455/2320-6012.ijrms20150107

Cited by 4 publications

(6 citation statements)

References 3 publications

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“…6 Pajnen et al reported that laparoscopy alleviates the symptoms in more than 70% of patients. 4 This correlate well with our study and it should be considered if other diagnostic tests are negative. Dhaigude BD et al conducted a study on patients age group between 18-65 year with history of abdominal pain for 3 months or more and patients of recurrent abdominal pain with previous history of abdominal operation done were included in the study.…”

Section: Discussionsupporting

confidence: 75%

“…Lal V et al conducted a study which was undertaken to assess the efficacy of performing diagnostic and therapeutic laparoscopy in patients with chronic abdominal pain for longer than 12 weeks. 4 All patients undergoing laparoscopy for chronic abdominal pain were included in the study for a period of 1 year. The patient's demographic data, length of time with pain, diagnostic studies, intraoperative findings, interventions and follow-up were determined.…”

Section: Discussionmentioning

confidence: 99%

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Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis

Rao

2017

Int Surg J

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Section: Discussionsupporting

confidence: 75%

Section: Discussionmentioning

confidence: 99%

Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis

Rao

2017

Int Surg J

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“…In our study, most common findings was adhesions followed by abdominal TB and the results were almost in par with the study done by Arya et al and the study done by Lal. 27,28 Abdominal tuberculosis is a common disease in India, as was seen in present study. Laparoscopy has a great deal to offer an early diagnosis of abdominal tuberculosis and treatment.…”

Section: Discussionsupporting

confidence: 66%

“…26 These results compare favourably with our series and another study done by Lal et al had shown that laproscoopy was able to detect the pathologies in 84% of the patients with chronic abdominal pain. 27 In our study, 30 (60%) patients had a definitive therapeutic procedure performed. In our study, most common findings was adhesions followed by abdominal TB and the results were almost in par with the study done by Arya et al and the study done by Lal.…”

Section: Discussionmentioning

confidence: 61%

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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“…Abdominal tuberculosis presenting different signs and symptoms, it is mandatory to the Diagnostic Laparoscopy for the patients with vague abdominal complaints or USG evidence of unexplained moderate free fluid in pelvis. 5 In one patient, second look diagnostic laparoscopic was done on her repeated request. Unfortunately, ileum was injured while doing Hasson's technique.…”

Section: Discussionmentioning

confidence: 99%

Diagnostic Laparoscopy- A Retrospective Study

Bansal¹,

Gajera²,

Hiremath³

2017

jemds

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BACKGROUND Diagnostic Laparoscopy is a minimally invasive procedure, which gives a direct eye view of intra-abdominal organ and its pathology. Diagnostic Laparoscopy plays an important role in basic workup of infertility patients. Use of this diagnostic modality should be extended to the other indications, which provides excellent results making it easy for the correct and on time treatment. MATERIALS AND METHODS We have done a retrospective study of 87 patients who underwent diagnostic laparoscopy during investigations for primary infertility, secondary infertility, dysmenorrhoea, vague abdominal pain, past history of pelvic infection and abnormality. The Diagnostic Laparoscopy was carried out post-menstrually on the follicular phase of menstrual cycle under general anaesthesia. RESULTS We found four cases of disseminated abdominal pelvic tuberculosis. One patient histopathology report came as Gastrointestinal Stromal Tumour (GIST). Patient is put on imatinib therapy. One patient showed evidence of Accessory Cystic Uterine Mass (ACUM). Subsequently, we did laparotomy and all the cystic lesions were enucleated and the base was cauterised. CONCLUSION Approximately, two-third (67%) of cases had some form of tubo-ovarian pathology, which makes Laparoscopy an essential part of infertility workup. However, diagnostic laparoscopy has a significant role in patients with vague ultrasound findings. It would be advisable to perform Diagnostic Laparoscopy in selected cases of unexplained dysmenorrhoea. Wise and skilful use of Diagnostic Laparoscopy for innumerable indications in gynaecology practice aids the clinicians to arrive at the diagnosis at the earliest.

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Study to Evaluate the Role of Laparoscopy in Chronic Abdominal Pain

Cited by 4 publications

References 3 publications

Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis

Role of diagnostic laparoscopy in chronic abdominal conditions with uncertain diagnosis

Role of diagnostic laparoscopy in chronic abdominal pain

Diagnostic Laparoscopy- A Retrospective Study

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