Role Of Laparoscopy In Diagnosis And Management Of Acute Abdomen – In South Indian Population

Babannavar, Prashantha B. and Thejeswi, Poornachandra and *, Ravishankar and Rao, Sadashiva P and *, Aravindan R and *, Shankar Ram HS (2013) Role Of Laparoscopy In Diagnosis And Management Of Acute Abdomen – In South Indian Population. The Internet Journal of Surgery, 30 (4).

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Abstract

BACKGROUND Laparoscopy is being increasingly employed as a diagnostic tool and a therapeutic modality in acute abdomen. The accuracy of diagnosis, the ability to accomplish treatment and other advantages of laparoscopy need to be defined. OBJECTIVES To study the role of laparoscopy in diagnosis and management of acute abdomen with respect to the accuracy of diagnostic laparoscopy to identify the cause of acute abdomen, to assess the efficacy of laparoscopy in ascertaining treatment after diagnosis, to assess the ability to avoid unnecessary non-therapeutic laparotomies. METHODS A clinical study of 50 cases of acute abdomen was done to study the role of laparoscopy in diagnosis and management of acute abdomen. RESULTS Out of the 50 cases studied, 27 (54%) were male and 23 (46%) were female patients, the average age being 30.5 years. Abdominal pain was the universal complaint present in all 50 patients (100%), vomiting was present in 42 (84%), fever in 31 (62%) and abdominal distension in 12 (24%), alteration in bowel habits was noted in 9 (18%) patients and burning micturition in 5 (10%). In our study, 9 (18%) patients had undergone previous surgery. Laparoscopy was diagnostic in 50 patients (100%). Laparoscopy could accomplish treatment in 47 patients (94%). Unnecessary and non-therapeutic laparotomies were avoided in 7 patients (14%). Only 3 patients (6%) had to be subjected to laparotomy (either conversion or re-laparotomy) for appropriate management. Average duration of laparoscopic surgery was 51.9 minutes. Average hospital stay was 9.8 days. Morbidity rate for laparoscopic surgery was 10%. There was no mortality in our study. CONCLUSIONS This study establishes the fact that laparoscopy is a very accurate diagnostic tool and effective therapeutic option in patients presenting with acute abdomen. Non-therapeutic laparotomies are avoided in a significant number of patients undergoing diagnostic laparoscopy.

Item Type: Article
Uncontrolled Keywords: acute abdomen, laparoscopy
Subjects: Medicine > KMC Mangalore > Paediatrics
Medicine > KMC Mangalore > Surgery
Depositing User: KMCMLR User
Date Deposited: 24 Oct 2013 10:25
Last Modified: 24 Oct 2013 10:25
URI: http://eprints.manipal.edu/id/eprint/137574

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