scholarly journals Role of diagnostic laparoscopy in chronic abdominal pain

2020 ◽  
Vol 7 (4) ◽  
pp. 1077
Author(s):  
Anuradha Dnyanmote ◽  
Neha Srivastava ◽  
Debabrata Gope
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Chronic Abdominal Pain ◽  
Research Centre ◽  
Common Finding ◽  
Categorical Variables ◽  
P Value ◽  
Chi Square ◽  
College Hospital

Background: Chronic idiopathic pain syndromes are amongst the most challenging and demanding conditions to treat across the whole age spectrum. Despite these patients having undergone numerous diagnostic work-ups, their pain remains a challenge to all known diagnostic and treatment methods.Methods: To evaluate role of diagnostic laparoscopy in chronic abdominal pain a prospective observational study was done. The present study was conducted on patients with undiagnosed chronic abdominal pain coming to the Department of Surgery, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Pimpri, Pune. 75 patients with chronic abdominal pain who attend the General Surgery Department (OPD) were included in the study. Patients were included in the study after taking their voluntary informed consent. The categorical variables were assessed using Pearson chi-square. The quantitative variables were assessed using T-test. The test was considered significant only if the p value comes out to be less than 0.05.Results: Based on the findings of the study after performing diagnostic laparoscopy for 75 patients with chronic abdominal pain it was found that most common finding was of appendicitis (32%) followed by abdominal Koch’s (24%) and post-operative pain relief using VAS showed p value of less than 0.05 at 3 months of follow up post diagnostic laparoscopy.Conclusions: The present study concluded that laparoscopy is an effective diagnostic role in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause. The advantage of diagnostic laparoscopy over non-invasive methods is the ability to perform therapeutic procedure at the same time in cases of chronic abdominal pain. Diagnostic laparoscopy is safe, cosmetically better and having less morbidity.

scholarly journals Role of diagnostic laparoscopy in chronic abdominal pain

2019 ◽  
Vol 7 (1) ◽  
pp. 217
Author(s):  
Sajid Hussain ◽  
Safia Haideri
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Chronic Abdominal Pain ◽  
Prospective Longitudinal Study ◽  
Medical College ◽  
Therapeutic Value ◽  
Diagnostic Role ◽  
Surgery Department ◽  
Prospective Longitudinal

Background: Chronic abdominal pain is a common disorder both in general practice and in hospitals. Although patients with this type of pain may have undergone numerous diagnostic workups, including surgery, their pain remains a challenge to all known diagnostic and treatment methods. Laparoscopy can identify abnormal findings and improve the outcome in patients with chronic abdominal pain, as it allows surgeons to see and treat many abdominal conditions that cannot be diagnosed otherwise.Methods: A prospective longitudinal study was conducted from August 2016 to September 2017 in the Surgery Department of Vinayaka Missions Kirupananda Variyar Medical College, Salem. 50 patients with abdominal pain for 3 months and above were included in the study. Detailed history was recorded from patients and thorough clinical examination was performed. The findings were recorded in the proforma.Results: The most common laparoscopy finding among the study subjects was dense adhesions (26%) followed by abdominal TB (18%) and mesenteric lymphadenopathy (16%). 88% of the study subjects had a total relief of their abdominal pain and 6% of the patients felt that the pain was reduced and for the remaining 6% the pain was still persistent.Conclusions: The efficacy of diagnostic laparoscopy was 90% in the current study. Laparoscopy has an effective diagnostic role in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause. The therapeutic value of diagnostic laparoscopy is also accepted, well-appreciated, and it cannot be underestimated.

scholarly journals TO ASSESS SUBCLINICAL RNFL THICKNESS LOSS IN THE FELLOW EYES OF PATIENTS OF DEMYELINATING DISEASES.

2019 ◽  
Vol 3 (9) ◽  
Author(s):  
Dr. Mita V. Joshi ◽  
Dr. Sudhir Mahashabde
Keyword(s):  
Visual Impairment ◽  
Demyelinating Diseases ◽  
Research Centre ◽  
P Value ◽  
Chi Square ◽  
College Hospital ◽  
Thickness Loss ◽  
Rnfl Thickness ◽  
Department Of Ophthalmology ◽  
Fellow Eyes

An was Observational clinical study conducted on 30 patients who attended the OPD of upgraded department of Ophthalmology, Index Medical College Hospital & Research Centre, Indore. 60 eyes of 30 different patients of diagnosed cases of multiple sclerosis, neuromyelitis optica, and clinically isolated syndrome who had an H/O attack of Optic neuritis. Result: The difference between overall RNFL thickness in affected eyes and Fellow eyes is statistically significant. Chi square value is - 14.16.P value- 0.006 (<0.05) Severity of RNFL thickness loss in affected eyes of NMO (45.5µm; 83.34%) is more than MS (66.15µm; 65%). In CIS, RNFL thickness is highest (111.5µm) Conclusion: Severity of RNFL thickness loss is associated with the severity of visual impairment. Hence, can predict the progression of visual impairment in demyelinating diseases. Hence, evaluating the axonal damage, severity of visual impairment by measuring RNFL thickness loss is extremely useful in assessing the progression of visual loss and progression of demyelinating diseases. Keywords: RNFL, Eyes, Demyelinating & Subclinical.

EVALUATION OF THE ROLE OF DIAGNOSTIC LAPAROSCOPY IN PATIENTS PRESENTING WITH NON SPECIFIC ABDOMINAL PAIN AND ITS CORRELATION WITH CLINICAL AND RADIOGRAPHIC FINDINGS

2021 ◽  
Vol 5 (10) ◽  
Author(s):  
Vijay Pal Singh Dhayal ◽  
Dharmpal Godara
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Descriptive Study ◽  
Chronic Abdominal Pain ◽  
Diagnostic Evaluation ◽  
Exclusion Criteria ◽  
Radiographic Findings ◽  
Keywords Laparoscopy

Background: The present study was planned to evaluate the role of diagnostic laparoscopy in patients presenting with non-specific abdominal pain and its correlation with clinical and radiographic findings. Methods: Prospective descriptive study conducted on 50 patients, who fulfill the inclusion and exclusion criteria was included in the study. Results: 60% cases laparoscopy provide diagnostic & therapeutic or both. After laparoscopy 92% cases pain were resolve. Conclusion: Diagnostic laparoscopy can identify abnormal findings and improve the outcome in patients with chronic abdominal pain. However, it should be considered only after a complete diagnostic evaluation has been carried out. Keywords: Laparoscopy, diagnostic, therapeutic

scholarly journals The role of diagnostic laparoscopy in chronic abdominal pain

2020 ◽  
Vol 4 (1) ◽  
pp. 17-21
Author(s):  
Dr. Sandesh Deolekar ◽  
Dr. Bibekananda Mahapatra ◽  
Dr. Rahul Borude
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Chronic Abdominal Pain

scholarly journals TO STUDY THE IMPACT OF OXYGEN SATURATION OF NEONATES ON THEIR IMMEDIATE OUTCOME BY USING TOPS SCORE

2021 ◽  
Vol 5 (2) ◽  
Author(s):  
Priyanka Jain ◽  
Rakesh Jain
Keyword(s):  
Oxygen Saturation ◽  
Pulse Oximeter ◽  
Research Centre ◽  
P Value ◽  
Chi Square ◽  
College Hospital ◽  
Chi Square Test ◽  
Pre Treatment ◽  
The Right ◽  
The Impact

Background & Method: This study was carried out at Index Medical College Hospital & Research Centre, Indore, when baby come to scnu, SPO2 is measured by pulse oximeter (ChoiceMMed MD300C2.). Fit the pulse oximeter on the foot, the light part of the sensor should be placed over soft tissue supported by a bony area. If the foot is cold or blue the pulse oximeter can be attached at the wrist. If the signal is poor re-position the probe. In a resuscitation situation the pulse oximeter should be attached to the right arm to read pre-ductal saturations. Result: In this study, 28.46% newborns oxygen saturation was less than 85% and 71.53% newborns oxygen saturation was more than 85%. In this study, 67.81% newborns having oxygen saturation less than 85% and 1.9% newborns having oxygen saturation more than 85% died during first 48 hrs of admission. Chi square test was applied and p value was <0.05 and was significant. Conclusion: Most of neonatal transports are self transport without any pre-treatment stabilization or care during transport These new born thus transported can become cold, blue and hypoglycaemic. This can have serious clinical implications. As it is seen in this study that all those babies who were given proper care during transportation were less affected & more over survival was also better among these babies. Keywords: Oxygen Saturation, Neonates & TOPS score.

scholarly journals Transomental defects as a cause of chronic abdominal pain, the role of diagnostic laparoscopy: a case series

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 8356 ◽  
Author(s):  
Arun V Ariyarathenam ◽  
Tjun Y Tang ◽  
Senthil Nachimuthu ◽  
Yashwant Koak ◽  
Adrian M Harris
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Case Series ◽  
Chronic Abdominal Pain

scholarly journals Nutritional status and correlates of malnutrition among elderly adults in a South Indian village

2020 ◽  
Vol 11 (4) ◽  
pp. 7213-7219
Author(s):  
Aarthy Marimuthu ◽  
Balaji Ramraj
Keyword(s):  
At Risk ◽  
Nutritional Status ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
The Elderly ◽  
Research Centre ◽  
Categorical Variables ◽  
P Value ◽  
College Hospital ◽  
South Indian

Nutrition is the single most important determinant of the health of an individual and provides essential support during the ageing process. Malnutrition is not a consequence of ageing and should never be considered as a normal process. Early detection of nutritional problems is vital to ensure the quality of life throughout these extended years. This study aimed, at assessing the nutritional status among the elderly (60 years and above), in the rural field practice area of SRM Medical College Hospital and Research Centre (Kalivanthapattu village), and to identify the correlates of malnutrition. A Community-based Cross-sectional study was conducted for assessing the Nutritional status of the elderly population (≥ 60 years) in Kalivanthapattu village using MNA (Mini Nutritional Assessment) scale. Data analysed using SPSS 22. Descriptive data were presented in percentages, mean, standard deviation. Chi-square test was used to prove the association between categorical variables. p-value < 0.05 is considered statistically significant. Among 102 participants, 33% are with normal nutritional status, 59% were at risk, and 8% of individuals were malnourished. Both males and females were >50% at risk of malnutrition. The association of age, spouse status, whether alive or dead and the type of house were found to be statistically significant (p <0.05). This study stresses on the nutritional assessment of elderly followed by anthropometric, clinical, biochemical and functional assessments in malnourished individuals and those at risk of malnutrition. Like immunisation schedule for under-five children, it is essential to rope Malnutrition scale to assess the nutritional status at or over the age of 60 years.

scholarly journals Role of Diagnostic Laparoscopy in Cases of Acute and Chronic Abdominal Pain

2019 ◽  
Vol 6 (42) ◽  
pp. 2729-2733
Author(s):  
Gorle Nagabhushana Rao ◽  
Kalisetty Suresh Babu ◽  
Kondapaturu Lakshmi Chandrasekhar ◽  
Garapati Lakshmi Prasanna ◽  
Nivetha Kandan
Keyword(s):  
Abdominal Pain ◽  
Diagnostic Laparoscopy ◽  
Chronic Abdominal Pain
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