Diagnostic laparoscopy in right iliac fossa pain
Background: Abdominal pain is a common problem in both males and females. Early Diagnosis is needed to rule out life threatening emergencies. Diagnosticlaparoscopy is very much useful in giving proper treatment and avoiding negative laparotomies.
Aims & objectives: To study the use of laparoscope in patients with acute or chronic right iliac fossa pain, to diagnose and confirm conditions like acute appendicitis, abscess, perforation, mass formation, etc. where clinical and imaging studies are inconclusive.
Materials & Methods: Place: Department of General surgery, Melmaruvathur Adhiparasakthi Institute of Medical Science and Research, Melmaruvathur.
Period of study: June 2017 to January 2018.
Material: All patients with right iliac fossa pain in the ages between ten years and seventy years were included in this study.
Results: Total 50 patients were included in this prospectivestudy. 29 patients (58%) were found to have acute appendicitis. Complicated appendix cases like mass formation, perforated appendix, appendicular abscess was found in 12 patients (24%). Normal looking appendix was found in 3 patients (6%). Non appendix lesions were found in 6 patients (12%).
Conclusions: The best approach in right iliac fossa pain is to do diagnostic laparoscopy and proceed, rather than going for open appendisectomy. Diagnostic laparoscopy gives all benefits of minimal invasive surgery. Not much of pain, shorter period of hospitalization, small scars, low infection rates and most importantly, accurate diagnosis and the correct treatment of most of the intra abdominalconditionsarethe gifted things.
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