Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area

BACKGROUND: Chronic abdominal pain is a frequent cause of surgical consultation. This study is conducted to evaluate usefulness of laparoscopy in diagnosis of chronic abdominal pain so as to reduce suffering and depression associated with condition. This study aims to define the role of diagnostic l...

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Main Authors: Vijay Kanake, Vighnesh Sundaravadanam, Shubhangi Mangam, Vijay Bhalavi
Format: Article
Language:English
Published: Vesnu Publications 2023-03-01
Series:Chronic Diseases Journal
Subjects:
Online Access:http://cdjournal.muk.ac.ir/index.php/cdj/article/view/681
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author Vijay Kanake
Vighnesh Sundaravadanam
Shubhangi Mangam
Vijay Bhalavi
author_facet Vijay Kanake
Vighnesh Sundaravadanam
Shubhangi Mangam
Vijay Bhalavi
author_sort Vijay Kanake
collection DOAJ
description BACKGROUND: Chronic abdominal pain is a frequent cause of surgical consultation. This study is conducted to evaluate usefulness of laparoscopy in diagnosis of chronic abdominal pain so as to reduce suffering and depression associated with condition. This study aims to define the role of diagnostic laparoscopy in chronic abdominal pain. METHODS: A hospital-based prospective study was conducted in the Department of Surgery, Shri Vasantrao Naik Government Medical College, Yavatmal, India, a tertiary care center in the rural area from January 1, 2016 to June 30, 2017 with 50 patients to evaluate the role of laparoscopy in patients with chronic abdominal pain. All the patients underwent diagnostic laparoscopy with methodical inspection of the whole abdominal cavity. Statistical analysis was done using SPSS software. RESULTS: The majority of the patients (36%) were in the age group of 21-30 years with women affected more (66%). The most common symptom was pain (100%) for more than 4-5 months. Laparoscopic findings were appendicitis (30%) followed by Koch’s abdomen (26%), adhesions (24%), sub-acute intestinal obstruction (SAIO) (8%), ovarian cyst (4%), and hernia (2%) which were treated accordingly. Resolution of pain was seen in 94% of the patients over a follow-up period of 3 months. CONCLUSION: Diagnostic laparoscopy is a safe and effective procedure in the evaluation of patients with chronic abdominal pain in a rural area. It also provides an opportunity to perform the therapeutic procedure in the same setting thereby reducing the overall cost of treatment.
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spelling doaj.art-97e577e6a5b5474cbcbb338b6ad8ddb02023-04-26T07:52:34ZengVesnu PublicationsChronic Diseases Journal2588-72972345-22262023-03-011114753https://doi.org/10.22122/cdj.v11i1.681Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural areaVijay Kanake0https://orcid.org/0000-0003-3083-165XVighnesh Sundaravadanam1https://orcid.org/0009-0002-0792-8066Shubhangi Mangam2https://orcid.org/0000-0002-1650-1251Vijay Bhalavi3https://orcid.org/0000-0002-7973-4618Department of Surgery, Shri Vasantrao Naik Govt. Medical College, Yavatmal, Maharashtra, IndiaDepartment of Surgery, Shri Vasantrao Naik Govt. Medical College, Yavatmal, Maharashtra, IndiaDepartment of Pathology, Mahatma Gandhi Institute of Medical Sciences, Sevagram, Wardha, Maharashtra, IndiaDepartment of Biochemistry, Shri Vasantrao Naik Govt. Medical College, Yavatmal, Maharashtra, IndiaBACKGROUND: Chronic abdominal pain is a frequent cause of surgical consultation. This study is conducted to evaluate usefulness of laparoscopy in diagnosis of chronic abdominal pain so as to reduce suffering and depression associated with condition. This study aims to define the role of diagnostic laparoscopy in chronic abdominal pain. METHODS: A hospital-based prospective study was conducted in the Department of Surgery, Shri Vasantrao Naik Government Medical College, Yavatmal, India, a tertiary care center in the rural area from January 1, 2016 to June 30, 2017 with 50 patients to evaluate the role of laparoscopy in patients with chronic abdominal pain. All the patients underwent diagnostic laparoscopy with methodical inspection of the whole abdominal cavity. Statistical analysis was done using SPSS software. RESULTS: The majority of the patients (36%) were in the age group of 21-30 years with women affected more (66%). The most common symptom was pain (100%) for more than 4-5 months. Laparoscopic findings were appendicitis (30%) followed by Koch’s abdomen (26%), adhesions (24%), sub-acute intestinal obstruction (SAIO) (8%), ovarian cyst (4%), and hernia (2%) which were treated accordingly. Resolution of pain was seen in 94% of the patients over a follow-up period of 3 months. CONCLUSION: Diagnostic laparoscopy is a safe and effective procedure in the evaluation of patients with chronic abdominal pain in a rural area. It also provides an opportunity to perform the therapeutic procedure in the same setting thereby reducing the overall cost of treatment.http://cdjournal.muk.ac.ir/index.php/cdj/article/view/681abdominal paindiagnostic laparoscopyrural area
spellingShingle Vijay Kanake
Vighnesh Sundaravadanam
Shubhangi Mangam
Vijay Bhalavi
Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
Chronic Diseases Journal
abdominal pain
diagnostic laparoscopy
rural area
title Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
title_full Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
title_fullStr Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
title_full_unstemmed Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
title_short Role of diagnostic laparoscopy in chronic abdominal pain: Experience in a rural area
title_sort role of diagnostic laparoscopy in chronic abdominal pain experience in a rural area
topic abdominal pain
diagnostic laparoscopy
rural area
url http://cdjournal.muk.ac.ir/index.php/cdj/article/view/681
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AT vijaybhalavi roleofdiagnosticlaparoscopyinchronicabdominalpainexperienceinaruralarea