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Category: Volume 06 Issue 10 October 2018
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Title: Role of Diagnostic Laparoscopy in non Specific Abdominal Pain

Authors: Dr P.Vinoth, Dr R. Ramesh

 DOI:  https://dx.doi.org/10.18535/jmscr/v6i10.163

Abstract

Background: Diagnostic Laparoscopy provides us with good view of whole peritoneal cavity there by clinching diagnosis. In General population Appendicular pathology is the leading etiology of non specific abdominal pain, it is about 33%, followed by adhesion 23%,positive outcome in 1 month follow up period is 80%,in 3 months follow up period 90% patients got complete relief.

Patients and Methods:  Clinical material for this study was obtained from 50 patients with abdominal pain for three months or more where other clinical symptoms and investigations are not conclusive, attending the Out Patient Department and admitted to Rajah Muthiah Medical College and Hospital, willing for diagnostic laparoscopy. The overall efficacy and outcome of this work includes finding the etiology of Non specific abdominal pain, thereby making a definite diagnosis and to assess the response to treatment in relieving pain after three months.                           

Results: Appendicular pathology is the leading etiology of Non specific abdominal pain. Diagnostic laparoscopy help us to initiate appropriate treatment in this difficult patient group and positive outcome of pain relief (relief/reduction of pain after diagnostic laparoscopy) was observed in 90% of patients.

Conclusion: Diagnostic laparoscopy is a safe, relatively cost-effective and efficient method for finding out the etiology of chronic abdominal pain and to provide specific interventions.

Keywords: Chronic abdominal pain, Adhesions, Biopsy, Hernia, Diagnostic laparoscopy, Pain relief.

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Corresponding Author

Dr P.Vinoth

Post Graduate, Department of General Surgery, Rajah Muthiah Medical College and Hospital, Chidambaram, Cuddalore, Tamil Nadu, India