ROLE OF DIAGNOSTIC LAPAROSCOPY IN NON SPECIFIC ABDOMINAL PAIN

Abstract

INTRODUCTION:Abdominal pain is very common presentation in emergency department.It is vital that the physician has an understanding and be familiar with the presentations of common diseases that cause abdominal pain. Patients with acute abdominal pain are a heterogenous group that consumes a great deal of a surgical department's resources. AIM AND OBJECTIVE: To evaluate the use of the laparoscopy in the diagnosis and management of patients with nonspecific chronic and acute abdominal pain. MATERIAL AND METHODS: The material consists of patient in all surgical units of P.B.M. and Associated Group of Hospital attached to S.P.Medical College,Bikaner.This study includes 50 patients.In acute NSAP group 21 patients were present and in Chronic NSAP group 29 patients were included. RESULT:We found that the mean age was 29.38 and 26.17 years in acute and chronic group respectively.In acute group additional 4(19%) cases had vomiting, 3(14.2%) had fever, and 2(9.5%) had both vomiting and fever.While in chronic group 3(10.3%) cases had vomiting, 2(6.8%) had fever and 1(3.4%) case had both vomiting and fever. Efficacy of laparoscopy in chronic group was 86.2%.Laparoscopy made correct diagnosis in 25(86.2%) cases,3(10.3%) cases had normal study and 1(3.4%) case diagnosed as PID pain was not relieved. CONCLUSION: Our study establishes role of laparoscopy as a safe and accurate modality in diagnosis of both acute and chronic abdominal pain in cases where diagnosis can't be made with physical examination and non invasive methods.