Analysis of diagnostic laparoscopy in chronic right iliac fossa pain
DOI:
https://doi.org/10.18203/2349-2902.isj20170998Keywords:
Chronic right iliac fossa pain, Diagnostic laparoscopy, Pain relievedAbstract
Background: Chronic right iliac fossa pain with normal radiological and laboratory finding is common indication for diagnostic laparoscopy by general surgeon. Most common cause of chronic right iliac fossa pain is appendicitis. Laparoscopic appendectomy is commonly done in diagnostic laparoscopy if other cause is not found.
Methods: Patients of all the age group and either gender, undergone diagnostic laparoscopy for chronic right iliac fossa pain longer than 3 months with normal radiological finding in the surgical department. Diagnostic and therapeutic role of laparoscope was assessed.
Results: 83% patients were showing visible positive finding on diagnostic laparoscopy. On follow up after 1 month, 90% patients show reliving of pain.
Conclusions: Diagnostic laparoscopy is minimal invasive surgical procedure. It is useful when other pathological and radiological investigations are inclusive.
References
Chao K, Farrell S, Kerdemelidis P, Tulloh B. Diagnostic laparoscopy for chronic right iliac fossa pain: a pilot study. Aust N Z J Surg. 1997;67(11):789-91.
Paajanen H, Julkunen K, Waris H. Laparoscopy in chronic abdominal pain. A prospective nonrandomized long-term follow-up study. J Clin Gastroenterol. 2005;39:110-4.
Salky BA, Edye MB. The role of laparoscopy in the diagnosis and treatment of abdominal pain syndromes. Surg Endosc. 1998;12:911-4.
Fayez JA, Toy NJ, Flanagan TM. The appendix as the cause of chronic lower abdominal pain. Am J Obstet Gynecol. 1995;172(1 Pt 1):122-3.
Husain M, Sachan PK, Khan S, Lama L, Khan RN. Role of diagnostic laparoscopy in chronic and recurrent abdominal pain. Trop Gastroenterol. 2013;34(3):170-3.
El-labban GM, Hokkam EN. The efficacy of laparoscopy in the diagnosis and management of chronic abdominal pain. J Minim Access Surg. 2010;6(4):95-9.
Ahmad MM, Dar HM, Waseem M, Wani H, Nazir I, Jeelani A. Role of laparoscopy in nonspecific abdominal pain. Saudi Surg J. 2014;2:71-4.
Onders RP, Mittendorf EA. Utility of laparoscopy in chronic abdominal pain. Surgery. 2003;134:552-4.
Miller K, Mayer E, Moritz E. The role of laparoscopy in chronic and recurrent abdominal pain. Am J Surg. 1996;172:353-7.
Siriwardana RC, Renuka S, Kumarage S. Laparoscopy as a diagnostic and therapeutic option in evaluating chronic unexplained right iliac fossa pain. Surgical Endoscopy. 2010;24(11):2793-5.
