A study of diagnostic laparoscopy in the evaluation of right lower abdominal pain

Arun, P S (2014) A study of diagnostic laparoscopy in the evaluation of right lower abdominal pain. Masters thesis, Kilpauk Medical College, Chennai.

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Abstract

INTRODUCTION: Right lower quadrant pain in abdomen is the most common type of acute abdominal pain and often presents a diagnostic challenge to the surgeon. There are numerous differential diagnoses for this symptom which can present in various ways. The systematic use of laparoscopy especially in cases of diagnostic dilemmas is a very valuable tool to arrive at the proper diagnosis as well to plan the treatment. OBJECTIVES: The aims of this prospective study are to define the role of diagnostic laparoscopy in evaluating right lower abdominal pain and to study the incidence of different conditions causing right lower quadrant pain using diagnostic laparoscopy. METHODOLOGY: In this prospective study 72 patients with right lower abdominal pain admitted to the Emergency Department and undergone diagnostic laparoscopy were evaluated. RESULTS: The abnormal findings noted include appendicitis, adhesions, adnexitis, mesenteric lymphadenitis, meckel’s diverticulitis, mesenteric panniculitis, hydrosalpinx and right adnexal cyst. The most common finding is appendicitis (75%). Females (67%) are commonly affected by adhesions. Females with RLQ pain were found to have more number of non gynaecological findings (85%) than gynaecological ones. About 85 percent of the patients with RLQ pain had a benefit of undergoing extended therapeutic and ancillary procedures. CONCLUSION: Laparoscopy provided its diagnostic benefit in ninety one percent of patients, who presented with right lower abdominal pain. It yielded its maximum diagnostic gain in women of child bearing age group. In these patients, the exposure to radiation by subjecting them to unnecessary radiological investigation is minimized. It had a therapeutic role in eighty percent of the patients with right lower quadrant pain.

Item Type: Thesis (Masters)
Uncontrolled Keywords: Diagnostic laparoscopy ; right lower quadrant pain ; appendicitis ; adhesions ; gynaecological causes.
Subjects: MEDICAL > General Surgery
Depositing User: Devi S
Date Deposited: 06 Jul 2018 00:25
Last Modified: 06 Jul 2018 00:25
URI: http://repository-tnmgrmu.ac.in/id/eprint/8648

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