Diagnostic and therapeutic role of laparoscopy in chronic abdominal pain: a retrospective study in a rural tertiary care teaching hospital

Authors

  • Anbarasu Sasivannan Department of General Surgery, Tagore Medical College and Hospital, Rathinamangalam, Chennai 600127, India
  • Shanthi Ponnusamy Department of Obstetrics and Gynaecology, Tagore Medical College and Hospital, Rathinamangalam, Chennai 600127, India
  • Iyanar Kannan Department of Microbiology, Tagore Medical College and Hospital, Rathinamangalam, Chennai 600127, India

DOI:

https://doi.org/10.18203/2320-6012.ijrms20182455

Keywords:

Appendicectomy, Biopsy, Chronic abdominal pain, Chronic appendicitis, Diagnostic laparoscopy

Abstract

Background: Abdominal pain was the third most common complaint of individuals often recurrent and needs immediate care. The ability of the method to access and inspect the entire abdominal cavity and retro-peritoneum without harming the structures of it places laparoscopy as the procedure of choice in the diagnosis of abdominal pain.

Methods: The study is a retrospective study conducted in Tagore Medical College and Hospital, Chennai during the period of 1st January 2013 to 31st December 2017. Patients of age above 18 years with history of abdominal pain for 6 months or more were included in the study. Basic investigations were also done for the patient. Based on the clinical examinations, patients were subjected to diagnostic laparoscopy. All cases were done as elective surgeries.

Results: A total of 48 patients were found in the record, in which the diagnosis remained uncertain despite of all important investigations. The majority of the patients 19 (40%) were in the age group of 21-40 years followed by 17 (36%) in 41-65 years. The duration of pain ranged between 6 months to 1 years. On laparoscopic examination, majority of patients (46%) were diagnosed with chronic appendicitis.

Conclusions: Laparoscopy is not only safe, but also quick and effective investigation tool for chronic abdominal pain.

References

Ramchandani PG, Stein A, Hotopf M, Wiles NJ. Early parental and child predictors of recurrent abdominal pain at school age: results of a large population-based study. J Am Acad Child Adolesc Psychiatry. 2006;45:729-36.

Oberlander TF, Rappaport LA. Recurrent abdominal pain during childhood. Pediatr. 1993;14(8):313-9.

El-Labban GM, Hokkam EN. The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain. J Minim Access Surg. 2010;6(4):95-9.

Richardson WS, Stefanidis D, Chang L, Earle DB, Fanelli RD. The role of Diagnostic Laparoscopy for chronic abdominal conditions. Surg J Endo. 2008;42(7):464-7.

El-labban GM, Hokkam EN. The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain. J Minim Access Surg. 2010;6:95-9.

Baria KA. Role of laparoscopy in diagnosis and management of chronic abdominal pain. Ind J Sci Res. 2013;4(1):65-8.

Husain M, Khan S, Lama L, Khan RN. Role of diagnostic laparoscopy in chronic and recurrent abdominal pain. Tropical Gastroenterology. 2013;34(3):170-3.

Ali SA, Moosa FA, Sultan N. Role of Diagnostic Laparoscopy in Recurrent Vague Abdominal Pain. J of Sur Pakist. 2013;18(2):74-7.

Malik AM, Talpur KA, Soomro AG, Qureshi JN. Yield of diagnostic laparoscopy in abdominal tuberculosis: Is it worth attempting? Surg Laparosc Endosc Percutan Tech. 2011;21:191-3.

Arya PK, Gaur KJBS. Laparoscopy: A tool in diagnosis of lower abdominal pain. Indian J of Sur. 2004;66(4):216-20.

Ahmad MM, Dar HM, Waseem M, Wani H, Nazir I, Jeelani A. Role of laparoscopy in nonspecific abdominal pain. Saudi Surg J. 2014;2:71-4.

Camilleri M. Management of patients with chronic abdominal pain in clinical practice. Neurogastroenterol Motil. 2006;18:499-506.

McGarrity TJ, Peters DJ, Thompson C, McGarrity SJ. Outcome of patients with chronic abdominal pain referred to chronic pain clinic. Am J Gastroenterol. 2000;95:1812-6.

Salky BA, Edye MB. The role of laparoscopy in the diagnosis and treatment of abdominal Pain syndromes; Surg. Endosc. 1998;12(7):911-4.

Paajanen H, Julkunen K, Waris H. Laparoscopy in chronic abdominal pain: A prospective nonrandomized long-term follow-up study. J Clin Gastroenterol. 2005;39:110-4.

Tulaskar N, Nichkode P, Dasgupta S, Choudhary A, Zamad R, Panchbhai K, et al. Evaluation of role of laparoscopy in chronic abdominal pain. Int J Bio Med Res. 2013;4:3230-3.

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Published

2018-06-25

How to Cite

Sasivannan, A., Ponnusamy, S., & Kannan, I. (2018). Diagnostic and therapeutic role of laparoscopy in chronic abdominal pain: a retrospective study in a rural tertiary care teaching hospital. International Journal of Research in Medical Sciences, 6(7), 2256–2259. https://doi.org/10.18203/2320-6012.ijrms20182455

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Original Research Articles