Role of Diagnostic Laparoscopy in Chronic Abdominal Pain and Its Therapeutic Value

Abstract

The aim of this study was to evaluate and establish the role of diagnostic laparoscopy in unexplained chronic abdominal pain and its therapeutic value. Diagnostic laparoscopy apart from visualizing the entire abdominal cavity, allows us to take precise biopsy. Laparoscopy also offers therapeutic solutions for multiple reasons of abdominal pain. The study covered 110 patients with history suggestive of chronic abdominal pain for 3 months or more duration, undiagnosed despite repeated clinical examination, basic investigations within normal limits and unyielding imaging studies. The retrospective and prospective study was carried out at National Institute of Medical Sciences (NIMS) and attached Hospital in Jaipur for 4 years. In this study, we have achieved definitive diagnosis in 99 patients (90%). Therapeutic intervention was done in 65 cases (59.8%), and pain response in terms of positive outcome (relief). Reduction of pain after diagnostic laparoscopy was seen in 100 patients (91%). Thus, diagnostic laparoscopy is safe, cost-effective and of therapeutic value. It is well accepted and appreciated. It allowed diagnosis and treatment in the same sitting in majority of instances.

Keywords: Chronic abdominal pain, diagnostic laparoscopy

Cite this Article Surendra Kumar Kala, Sushil Kumar Sharma. Role of Diagnostic Laparoscopy in Chronic Abdominal Pain and Its Therapeutic Value. Research & Reviews: Journal of Surgery. 2018; 7(3): 16–20p.