01Jan 2017

LAPAROSCOPY ROLE IN DIAGNOSIS AND MANAGEMENT OF UNEXPLAINED/NONSPECIFIC ABDOMINAL PAIN.

  • Medical Intern, College of Medicine, King Saud University, Riyadh, Saudi Arabia. College of Medicine, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia.
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Background:unexplained/nonspecific abdominal pain makes up a high percentage of surgical admissions to hospitals, both in emergency department, and as elective admissions,with a substantial diagnostic dilemma. Objective: The aim of this study was to determine if laparoscopy has any significant role in the diagnosis and management of unexplained/nonspecific abdominal pain. PatientsandMethods: All patients who presented to the hospital with abdominal pain with no identifiable etiology and after clinical examination, assessment and investigations were labeled as unexplained/nonspecific abdominal pain, and after that underwent diagnostic laparoscopyto reach a definitive diagnosis were included in the study. Results:127 patients were included in the study. Females accounted for 67% (n=85) and males33% (n=42). The mean age was 28 years (ranged from18-58 years).Out-patient department was the commonest mode of admission,99 (78.4%) patients. Patients who presented with unexplained/nonspecific abdominal pain in the lower part of abdomen accounted for 29% (n=37), followed by 25% (n=32) with right lower abdominal pain, and 22% (n=28) with periumbilical pain radiating to right lower abdomen. Diagnosis was established in 85%(n=108) of patients. In 15% (n=19) no pathology was found. The most common diagnosis was pathology of appendix in 33% (n=42) of patients followed by pelvic pathology in 20% (n=25), and abdominal tuberculosis in 16% (n=20) of patients. Most of the patients (42%, n=53) stayed in the hospital for 24 h. There were no major postoperative complications and no readmissions. Conclusion: Laparoscopy has a definitive role in the diagnostic dilemma associated with unexplained/nonspecific abdominal pain. It has at the same time a role in treatment, decreasing mortality, morbidity, cost, hospital stay, and improving quality of life relative to observation; hencelaparoscopy is an effective diagnostic and therapeutic modality in the management of patients with unexplained/nonspecific abdominal pain.


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[Faisal Abdullah Al Qahtani, Hamad Mohammed Al Selaimy and Saad Mohammed Al Muqrin. (2017); LAPAROSCOPY ROLE IN DIAGNOSIS AND MANAGEMENT OF UNEXPLAINED/NONSPECIFIC ABDOMINAL PAIN. Int. J. of Adv. Res. 5 (1). 205-209] (ISSN 2320-5407). www.journalijar.com


DOI:


Article DOI: 10.21474/IJAR01/2739       DOI URL: http://dx.doi.org/10.21474/IJAR01/2739


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