Study to evaluate the role and efficacyofdiagnosticlaparoscopy in chronic abdominal pain

Abstract

Background:Chronic idiopathic pain syndromes are among the most difficult and time-consuming disorders to manage, and they affect people of all ages. Despite the fact that these individuals have undergone several diagnostic tests, their pain continues to pose a challenge to all currently available diagnostic and therapy options.Aims and Objectives:In this prospective trial, we hope to determine the diagnostic and therapeutic efficacy of laparoscopy in the therapy of such patients.Materials and methods:In this study, 40 individuals with persistent discomfort in the abdomen were enrolled and evaluated. Every one of these patients was experiencing pain that was either of unknown origin or that was not responding to the treatment prescribed following a clinical assessment and had lasted for more than three months. Patients less than 15 years of age and those suffering from pain of shorter duration were excluded from the study. Patients underwent diagnostic laparoscopy as well as the operation in all cases. We tallied and assessed the outcomes of our study.Results:Females were found to be more impacted by this illness, with the periumbilical region being the most commonly reported site of pain. In 34 patients (85.0 percent), a conclusive diagnosis was made during surgery, while in the remaining six (15.0 percent), no evident pathology was discovered. Among the most prevalent findings in our study were recurrent appendicitis (62.5 percent), which was followed by post-operative adhesions (15.0 percent), gall stones (7.5 percent), tuboovarian disease (5.0 percent), and abdominal tuberculosis (5.0 percent) (5.0 percent ). Pain assessments performed at one month and three month follow-ups revealed that 87.7 percent of patients had experienced pain alleviation, and 84.5 percent had experienced pain relief at three months.Conclusion:Chronic abdominal discomfort is caused by a variety of factors, the most common of which is recurrent appendicitis. In such patients, diagnostic laparoscopy is a safe and effective method for both the diagnosis and therapeutic therapy.