Therapetic Efficacy of Diagnostic Laparoscopy in Chronic Abdominal Pain of Undiagnosed Etiology

Salesh kumar soni; Nidhi soni; kaushal suthar

Volume : III, Issue : X, October - 2014

Therapetic Efficacy of Diagnostic Laparoscopy in Chronic Abdominal Pain of Undiagnosed Etiology

Salesh Kumar Soni, Nidhi Soni, Kaushal Suthar

Abstract :

Chronic abdominal pain is a common condition which we encounter quite often. As a treating doctor we need a single master modality of treatment having both diagnostic and therapeutic advantage which should be efficient enough to provide relief in patient�s suffering. Diagnostic Laparoscopy has emerged as a very efficient tool in managing these patients. The aim of this study was to detect the therapeutic efficacy of diagnostic laparoscopy in chronic abdominal pain of undiagnosed etiology. Study was conducted on 100 patients of chronic abdominal pain ( of more then 3 months and undiagnosed by routine available investigations) of both sex and above 14 years of age from jan 2012 to june 2014. Diagnostic laparoscopy was performed. If any specific etiology was found, then appropriate therapeutic intervention was taken in the same sitting. If nothing abnormal was found, then procedure completed by doing laparoscopic appendectomy. Patient was then reviewed in follow up at 1,3,6 and 12 month and enquired about status of their symptoms. Most common finding was chronic appendicitis (24%) followed by Adhesions (14%), Tuberculosis (12%), Ovarian cyst (8%), Mesenteric adenitis (12%), Meckel�s diverticulum (2%), intussusceptions (1%),Endometriasis (5%), Normal study (22%). In follow up 91 % of the patient claimed that they have got relief from their symptoms at the end of one year. Also 63% of those patients who had normal finding in diagnostic laparoscopy and subjected to complementary appendectomy also shown improvement in their symptoms. Diagnostic laparoscopy has a descent therapeutic efficacy of 91 %. It should be considered as treatment of choice for the patients of Chronic abdominal pain of undiagnosed etiology.