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Scholars Journal of Applied Medical Sciences | Volume-6 | Issue-04
Role of Laparoscopy in Diagnosis of Patients with Chronic Pain Abdomen
Dr. Rajendra Prasad Bugalia, Dr. Anuradha Salvi, Dr. RK Jenaw
Published: April 30, 2018 | 131 151
DOI: 10.36347/sjams.2018.v06i04.095
Pages: 1842-1849
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Abstract
Chronic abdominal pain is a common problem faced by the surgical specialist. It leads to physical and psychological disability in a person. Despite radiological and clinical investigations when diagnosis cannot be ascertained then laparoscopy is one of the modalities that could be of benefit. We aim to evaluate the diagnostic and therapeutic value of laparoscopy in cases with chronic abdominal pain. All patients underwent preoperative workup and were subjected to laparoscopic evaluation.The commonest site of pain was the periumbilical region and nausea was the most common accompanying clinical feature. Mesenteric lymphadenopathy, Ascites, Adhesions were the most common laparoscopic findings followed by appendiceal pathology. Histopathology of samples taken by laparoscopy shows Abdominal Kochs is predominant cause of chronic pain abdomen.In our study we tried to evaluate the feasibility and the usefulness of diagnostic laparoscopy for patients with chronic and recurrent abdominal pain in our hospital catering to a rural population.