Nadheem Ahamed, S (2020) Role of Diagnostic Laparoscopy in Nonspecific Abdominal Pain. Masters thesis, Stanley Medical College, Chennai.
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Abstract
AIM OF THE STUDY: • MY AIM IS TO STUDY painful abdominal conditions and treated by effective therapeutic laproscopy. OBJECTIVES: • The role of Laparoscopy in diagnosis and management of nonspecific pain abdomen where other clinical symptoms and investigations are not conclusive. • The role of Laparoscopy to know exact pathology. • The ability to avoid unnecessary non-thereupatic Laparotomies. • The various clinical presentations in nonspecific abdominal pain. • Benefits and Complications of Diagnostic Laparoscopy. • Outcome of the study. INCLUSION CRITERIA: • Chronic pain abdomen of uncertain etiology and conditions which are unexplained by other investigation and clinical symptom. • Age group of 15-50 years. • Both sexes are included. EXCLUSION CRITERIA: • Inability to tolerate pneumoperitoneum or general anaesthesia. • Uncorrected coagulopathy. • Mechanical or paralytic ileus. • Acute pain abdomen. METHODOLOGY: • Clinical material for present study comprises the patients with nonspecific abdominal pain where other clinical symptoms and investigations are not conclusive, attending the Out Patient Department and admitted to Stanley Medical College Hospital, willing for diagnostic laparoscopy. CONCLUSION Following are the conclusions derived from our study“ROLE OF DIAGNOSTIC LAPAROSCOPY IN NONSPECIFIC ABDOMINAL PAIN.” � Surgical dilemmas are more common in young age group. � Surgical dilemmas are more common in females. � Diffuse abdominal pain creates surgical dilemmas more oftenly followed by right iliac fossa pain. � Surgical dilemmas are more common in chronic abdominal pain. � Diagnostic laparoscopy is superior to USG and CT scan in surgical dilemmas. � Diagnostic laparoscopy is helpful in making specific diagnosis in most of the cases where there is no specific clinical diagnosis. � Diagnostic Laparoscopy is helpful in confirming a diagnosis made on clinical grounds and laboratory evaluation. � Most common DL findings are adhesions followed by TB tubercles and inflamed appendix. � Diagnostic laparoscopy is therapeutic in some of the cases by performing definitive procedure. Most common procedure done was biopsy followed by adhesinolysis and appendicectomy. � Appendicitis and Koch’s abdomen are common diagnosis that can be missed on investigations or create dilemmas more commonly. � Diagnostic Laparoscopy is safe, cosmetic with lesser complications and lesser morbidity and mortality. � Diagnostic accuracy of DL is very high & failure rate is very low. • With the growing availability of experienced operators, the morbidity. � It reduces chances of unnecessary laparotomies. � It reduces patient suffering by establishing definitive diagnosis and thus early initiation of definitive treatment. � Diagnostic Laparoscopy is specifically important in females of Reproductive age group with pain abdomen to confirm or refute pelvic pathology.
| Item Type: | Thesis (Masters) |
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| Additional Information: | 221711057 |
| Uncontrolled Keywords: | Diagnostic Laparoscopy, Nonspecific Abdominal Pain. |
| Subjects: | MEDICAL > General Surgery |
| Depositing User: | Subramani R |
| Date Deposited: | 09 Feb 2021 01:22 |
| Last Modified: | 09 Feb 2021 01:22 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/13944 |
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