DOI: https://doi.org/10.36347/sasjs.2024.v10i09.008

Pages: 1042-1048

Background: Chronic abdominal pain (CAP) is the fourth most frequent chronic pain syndrome presenting at different levels of health care systems and a leading reason for gastroenterology referrals. This is defined as recurrent abdominal pain that worsens the patient's quality of life and causes significant physical morbidity and psychological distress over a period of more than three months. The prevalence is 22-25%, and women are impacted more often than men. Often, CAP is diagnosed as unexplained chronic abdominal pain (UCAP) when a definitive diagnosis is not made. Diagnostic laparoscopy is a helpful minimally invasive procedure for diagnosis and occasionally for definitive management in all of these situations. Aim of the study: The study aims to use diagnostic laparoscopy for all cases of chronic abdominal pain (CAP) without a definite cause. Methods: Sixty individuals with chronic abdominal pain participated in this prospective observational study, which ran from January 2022 to December 2023 at the Satkhira Medical College Hospital in Bangladesh. With their informed written consent, participants were chosen according to stringent selection criteria. Numerous data on demographics, preoperative pain characteristics, intraoperative findings, and postoperative pain relief status were included in this ethically approved study. SPSS software was used to analyze the data, and statistical tests were used to report the results and determine significance at a 95% confidence interval. Result: The study involved 60 patients, predominantly aged 21-30 years, with a mean age of 37.14 years. Females represented 58.33% of the participants. Pain was reported by all patients, with vomiting (41.67%) and fever (33.33%) being less common symptoms. Most patients experienced pain for 13-18 months before surgery. Among the revealed diagnoses, three important causes were appendicitis (35%), adhesions (23.33%), and Koch’s abdomen (21.67%). Treatments were tailored according ...........