Role of Diagnostic Laparoscopy in Non-specific Abdominal Pain

Author:

Balachandran M. Malavika1,Pai B. Srinivas1,Patil Sharanabasappa1

Affiliation:

1. Department of General Surgery, Shri Dharmasthala Manjunatheswara College of Medical Sciences and Hospital, Shri Dharmasthala Manjunatheswara University, Dharwad, Karnataka, India

Abstract

Introduction: Non-specific abdominal pain is a prevalent and noteworthy health issue that results in healthcare utilisation and affects individuals’ quality of life. The primary focus of treatment approaches is to alleviate the symptoms and address any underlying factors if determined. Aim of the Study: This study aimed to assess the effectiveness of diagnostic laparoscopy in diagnosing individuals with non-specific abdominal pain and identifying the root cause of their discomfort. Patients and Methods: A retrospective selection was made of 60 patients presenting with non-specific abdominal pain. Clinical examinations, medical histories and details of the diagnostic workup were documented and analysed. Results: The age of the patients included in the study ranged from 18 to 65 years, with an equal representation of both males and females. A majority (43.3%) of the individuals experienced diffuse pain. Amongst the patients with normal ultrasound reports, a definitive diagnosis was established in 21 out of 23 cases. Diagnostic laparoscopy proved to be valuable in diagnosing 36 out of 37 patients with inconclusive ultrasound reports. Acute appendicitis was identified as the most frequent diagnosis. At the 1-month follow-up, pain subsided in 83% of the individuals. Conclusion: In the modern era, diagnostic laparoscopy offers a preferable alternative to exploratory laparotomy, as it enables us to provide a diagnosis with minimal invasiveness and improved quality of life for the patients.

Publisher

Medknow

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