LAPAROSCOPY

INDICATIONS IN THE DIAGNOSIS OF ABDOMINAL P A IN

Abstract

Objective: To identify the various acute and chronic abdominal conditions presenting as non specific abdominal pain in
which diagnostic laparoscopy was indicated to establish a definite diagnosis and treatment. Design: Descriptive study. Setting: Surgical
unit-l of Rawalpindi General Hospital Rawalpindi. Period: From February 2005 to February 2006. Materials & Methods: All patients who
presented with non specific abdominal pain and fulfilled the inclusion criteria were included in the study. The sample size was 150 cases,
out of which 71 (47%) were male and 79 (53%) were female. Mean age was 32.65± 17 years. Fifty five (36%) patients were admitted through
emergency department while 95 (63%) were admitted through OPD. Four main groups were identified who presented with nonspecific
abdominal pain in which diagnostic laparoscopy was indicated. These were patients with acute or chronic inflammatory conditions (66%),
acute or chronic intestinal obstruction (14%), patients with blunt/penetrating abdominal trauma (11 %), and patients of intra abdominal tumor
(9%). Out of these 150 cases, 53 cases (35%) had laparoscopy to confirm the diagnosis (diagnostic laparoscopy) while the remaining 97
cases (65%) had both the diagnostic as well as therapeutic laparoscopy. Mean hospital stay was 1.7 Days. Conclusion: The study has
demonstrated the various acute and chronic abdominal conditions in which laparoscopy in indicated and proved to have higher diagnostic
and therapeutic yield, and hence improved the management of these patients.