scholarly journals Laparoscopy in management of surgical causes of acute verses chronic pain abdomen in adults visiting tertiary care hospital in Telangana, India

2021 ◽  
Author(s):  
Talla Srinivas ◽  
Sudagani Sreenivas ◽  
Doddoju Veera Bhadreshwara Anusha
Keyword(s):  
Chronic Pain ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Care Hospital ◽  
Diagnostic Uncertainty ◽  
Pain Abdomen ◽  
Background Pain ◽  
Laparoscopic Intervention ◽  
A Prospective Study

Background: Pain abdomen accounts for about 14.2% of all emergency hospitalization. Many patients remain undiagnosed even after excluding the common disorders by meticulous investigations. In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provide accurate diagnosis. The current study aimed at comparing the role of laparoscopy in management of surgical causes of acute and chronic pain abdomen.Methods: A prospective study was done in 168 adult patients attending tertiary care hospital, selected by convenience sampling method. After clinical examination and relevant investigation, patients in need of diagnostic and therapeutic laparoscopic management were included in study. Laparoscopic findings and postoperative status of patients, with acute and chronic pain abdomen were compared with relevant statistical tests.Results: Mean age of patients was 35.8 years. Majority of the patients were females (58.3%). 41.1% and 58.9% patients had acute and chronic pain abdomen, respectively. Though more patients with chronic pain abdomen (58.9%) underwent laparoscopy when compared with acute pain abdomen (41.1%) it was not statistically significant, also post-operative status though found to be better in patients with chronic pain abdomen was not statistically significant.Conclusions: Though prevalence of laparoscopic intervention and better outcome was found more in patients with chronic abdominal pain in the present study it was not statistically significant.

scholarly journals CLINICAL PROFILE OF NON-TRAUMATIC ACUTE ABDOMEN AT A TERTIARY CARE HOSPITAL- A RETROSPECTIVE STUDY.

2019 ◽  
Vol 3 (4) ◽  
Author(s):  
Dr. Naveed Anjum Qureshi ◽  
Dr. Viney Sambyal
Keyword(s):  
Acute Abdomen ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Acute Intestinal Obstruction ◽  
Trauma Patients ◽  
Care Hospital ◽  
Common Presentation ◽  
Pregnant Females ◽  
Pain Abdomen ◽  
Background Pain

BACKGROUND: Pain abdomen is a common presentation, it accounts for approximately 10% of the cases in emergency room and about 2 -3% of the OPD patients. METHODS: All non trauma patients presenting with pain abdomen to emergency, above the age of 15 years were included in the study. All diagnosed pregnant females were excluded from the study. RESULTS: Most common cause of acute abdomen in our study was acute appendicitis followed by acute intestinal obstruction, cholecystitis and nephrolithiasis. CONCLUSION: Clinicians must consider multiple diagnoses during workup of these patients, those patients who may require surgical exploration should be identified early to limit their morbidity and mortality.

TO DETERMINE THE ROLE OF CA125 IN THE DIAGNOSIS OF ACUTE APPENDICITIS

2020 ◽  
Vol 4 (7) ◽  
Author(s):  
Vinod Kumar ◽  
Bhupen Songra ◽  
Richa Jain ◽  
Deeksha Mehta
Keyword(s):  
Acute Appendicitis ◽  
Clinical Diagnosis ◽  
Tertiary Care Hospital ◽  
Tertiary Care ◽  
Ca 125 ◽  
Care Hospital ◽  
Serum Samples ◽  
Roc Curve Analysis ◽  
Surgery Department

Background: the present study was under taken to determine the role of CA-125 in the diagnosis of acute appendicitis (AA), to prevent its complications and also in preventing negative appendicectomies in tertiary care hospital. Methods: The study was conducted at a tertiary care and research center between 01/03/2018 to 30/06/2019. Patients admitted to the surgery department with diagnosis of AA were considered for the study. After informed consent, a, standardized history was obtained as a case Performa. Serum samples from all the cases with clinical diagnosis of AA were obtained and stored. Only the cases with histopathologically approved AA were included in the study. Cases operated for clinical diagnosis of AA, but not histopathologically proven AA was not included in the study. CA125 levels in cases with definitive diagnosis of AA were measured. Results: In present study, ROC curve analysis revealed the sensitivity of 87.27 % and specificity of 90.91 % when the CA 125 cut-off value of > 16.8 was taken to diagnose acute appendicitis. AUC was 0.911 with a standard error of 0.0292. Conclusion: In this study we have observed that CA125 showed a positive correlation with acute appendicitis, that was statistically not significant (P>0.05). We didn’t evaluate the correlation with the disease severity. We consider that CA125 can be used as a marker in acute appendicitis cases although further research is still needed. Keywords: CA125, Acute Appendicitis, Surgery.

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