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Category: Volume 08 Issue 05 May 2020
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Title: Prospective Study of Laparoscopy in Patients with Chronic Abdominal Pain

Authors: Amarjeet E Tandur, Aftab S Shaikh, Shalmali Dharmadhikari, Ajay H Bhandarwar, Ameya Tibude, Shekhar Jadhav, Sagar Chavan

 DOI: https://dx.doi.org/10.18535/jmscr/v8i5.57

Abstract

 

Background: The intention of this prospective study is to highlight the utility of laparoscopy in patients vexed with chronic abdominal pain as it aides in diagnosis followed by therapeutic intervention in the same sitting.

Material and Methods: A prospective study was performed of 100 patients who underwent laparoscopy for chronic abdominal pain (more than or equal to 6 weeks), with average age of presentation being 34.6 years. Standard laparoscopic procedure was followed.

Results: A diagnosis could be clinched in 91% of the patients, with laparoscopic adhesiolysis (30%) being the commonest procedure. The average duration of procedure was 62.15minutes and average duration of stay was 4.2 days. Therapeutic efficacy of 80% was attained.

Conclusion: Laparoscopy-a minimally invasive, safe and effective modality has showed its utility in cases of chronic abdominal pain where conventional investigation methods have failed us. This invaluable tool has a high diagnostic accuracy and therapeutic efficacy. It allows us to come to a diagnosis with the added advantage of allowing a therapeutic intervention in the same sitting in most cases, thus avoiding further hospitalisation/exploration of the abdomen.

Keywords: Laparoscopy, chronic abdominal pain, diagnosis and intervention.

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Corresponding Author

Amarjeet E Tandur

Department of General Surgery, Grant Government Medical College & Sir JJ group of Hospitals, Byculla Mumbai-400008, India