A Study on Laparoscopy in the diagnosis of Chronic Abdominal conditions

Karthikeyan, S (2017) A Study on Laparoscopy in the diagnosis of Chronic Abdominal conditions. Masters thesis, Madurai Medical College, Madurai.

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Abstract

INTRODUCTION: Laparoscopy has proved to be an important tool in the minimally invasive exploration of selected patients with chronic abdominal conditions, whose diagnosis remains uncertain, despite exploring the requisite laboratory and imaging investigations like ultrasonography, computed tomography (CT) scan, and the like METHODS: 60 patients underwent diagnostic laparoscopy (24 males and 36 females) for chronic abdominal symptoms.Factors such as age, sex, previous surgery, duration of pain, and number of attacks were taken into account.Patients were investigated with Complete blood count, blood sugar, renal function test, Liver function test, ultra sonogram and computed tomography of abdomen and pelvis. RESULT: The commonest cause of admission for chronic abdominal conditions in females were found to be due to post-operative adhesions(16.67%) followed by chronic appendicitis(11.67%) and Tuberculous abdomen(8.33%), whereas in males commonest cause were Tuberculous abdomen(11.67%), Chronic appendicitis(5%) and others. CONCLUSION: Laparoscopy is able to achieve the final diagnosis and provide tissue diagnosis without any significant complication and less operative time. It can be safely concluded that diagnostic laparoscopy is a safe, quick, and effective adjunct to diagnostic modalities, for establishing a conclusive diagnosis, but, whether, it will replace imaging studies as the primary modality for diagnosis, needs more evidence.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Chronic Abdominal conditions, Diagnostic Laparoscopy, Post operative adhesions, Chronic appendicitis, Tuberculous abdomen.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 18 Mar 2020 02:11
Last Modified: 23 Mar 2020 06:20
URI: http://repository-tnmgrmu.ac.in/id/eprint/12303

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