scholarly journals Role of Laparoscopy - A Diagnostic Aid, its Indications & Benefits

2016 ◽  
Vol 9 (3) ◽  
Author(s):  
Munir Saeed ◽  
Mahmood Ayyaz ◽  
Muhammad Arshad Cheema

Patients with an obscure and unrelievable abdominal condition may be forced to receive open laparotomy for diagnosis. Diagnostic Laparoscopy has been suggested as an alternative to diagnostic laparotomy in selected cases. It is a prospective descriptive study in which, thirty one patients under-going diagnostic Laparoscopy using conventional pneumoperitoneal techniques from January 2000 to June 2002 were included in this study. The correlation between preoperative diagnosis. laparoscopic diagnosis and pathologic diagnosis as well as the outcome of laparoscopic diagnosis and treatment have been assessed. Major indications for diagnostic Laparoscopy included acute abdominal pain (n=9). chronic abdominal pain (n=13), different intraabdominal tumor (n=7). All patients with acute abdominal conditions. 8 of the 13 patients with chronic abdominal pain and 4 of the 7 patients with abdominal tumors had no reasons for a further exploratory procedure, thus preventing the morbidity or mortality which might occur after unnecessary laparotomy. Diagnostic Laparoscopy benefits patients by avoiding unnecessary surgery. avoiding unnecessary delay in diagnosis and treatment and shortening the operative and hospitalized period. However. it provides only an alternative not a substitute for traditional diagnostic procedures and will never lessen the importance of conventional laparotomy.

2019 ◽  
Vol 7 (1) ◽  
pp. 217
Author(s):  
Sajid Hussain ◽  
Safia Haideri

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.


2020 ◽  
Vol 7 (4) ◽  
pp. 1077
Author(s):  
Anuradha Dnyanmote ◽  
Neha Srivastava ◽  
Debabrata Gope

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.


Author(s):  
Vijay Pal Singh Dhayal ◽  
Dharmpal Godara

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


2020 ◽  
Vol 4 (1) ◽  
pp. 17-21
Author(s):  
Dr. Sandesh Deolekar ◽  
Dr. Bibekananda Mahapatra ◽  
Dr. Rahul Borude

Cases Journal ◽  
2009 ◽  
Vol 2 (1) ◽  
pp. 8356 ◽  
Author(s):  
Arun V Ariyarathenam ◽  
Tjun Y Tang ◽  
Senthil Nachimuthu ◽  
Yashwant Koak ◽  
Adrian M Harris

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

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