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IP Journal of Urology, Nephrology & Hepatology Science


Role of diagnostic laparoscopy in acute abdomen


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Author Details: Avinash Gaikwad,Rajeshwara K V*,Reshmina Dsouza

Volume : 1

Issue : 2

Online ISSN : XXXX

Print ISSN : XXXX

Article First Page : 28

Article End Page : 30


Abstract

Introduction: Laparoscopy in surgery is now state of art. The diagnostic laparoscopy has ample advantages over conventional investigations like ultrasound and even laparotomy. Diagnostic laparoscopy allows visualisation of pelvic and Para-colic gutters which can’t be seen on laparotomy. Surgical wound is the primary mechanism of peri-operative morbidity. It is natural that surgeon would per sue access to surgical sites through less invasive means. Diagnostic laparoscopy has been proving boon for dubious clinical diagnosis and negative laparotomies can be easily prevented. Hence we did a study to evaluate laparoscopy as a diagnostic tool in cases of acute abdomen where other clinical symptoms and investigations are not conclusive.
Material and Methods:Prospective descriptive study was done 50 cases of acute abdominal pain were randomly selected and these patients underwent diagnostic laparoscopy. The study was conducted between Jan 2017 to September 2018.
Results:In the current study, equal male to female ratio was found. Majority of the patients were in the age group of 31 to 40 years. Majority of the patients were presented with appendicitis.
Laparoscopy was found to be accurate in 90% of the patients. Appendicitis was diagnosed in 16 out of 16 cases. 10 patients were diagnosed out of 13 patients for hollow viscus perforation. Abdominal trauma and TB abdomen were diagnosed 100%. Bowel obstruction was identified in 9 out of 11 cases. In 58% of the patients, laparotomy was avoided. Blunt trauma cases were managed by laparotomy.
Conclusion: It reduces the rate of negative and nontherapeutic laparotomies (with a subsequent decrease in hospitalization, morbidity, and cost after negative laparoscopy).
The earlier diagnosis and intervention with potentially it improves outcomes compared with observation.

Keywords: Diagnostic laparoscopy, Laparotomies, Acute abdomen.

Doi No:-10.18231