A STUDY ON THE USEFULNESS OF DIAGNOSTIC LAPARASCOPY IN VAGUE ABDOMINAL PAIN
Author(s):
Abstract:
Laparascopy is a new technique with a minimal invasive surgery that enables us to directly observe the pelvic and the abdominal cavity. After prep and drep, the technique entails a 1 cm incision which is made under the umbilical, opening the skin and underlying subcutaneous tissues and insertion of a10-mm trocar and lenzoscopy under general anesthesia. Using this method, the surgeons are able to see the pathological causes of acute vague abdominal pain and plan treatment accordingly. This type of operation facilitates painless and short hospitalization, very low rate of infection and complications, and early return to work. Furthermore, this technique can be a useful substitute choice for open invasive abdominal operations in acute vague abdominal pain. The outcome of this type of operation, which was carried out on 25 patients among 572, who were admitted to Golestan hospital, Ahwaz, for acute vague abdominal pain, is reported. Among these, 380 patients were operated on by conventional methods, 163 patients were treated with conservative treatment without resorting to operation and their pain was resolved and weres discharged. Four patients refused operation. Twenty-five of the patients were checked by various para-clinical tests, X-ray, sonography and repeated physical examinations and their pain persisted for more than 18 hours were candidates for this study. Pathological abnormalities were diagnosed in twenty patients (an accuracy of 80%) and five patients showed normal abdomen.
Language:
Persian
Published:
Jundishapur Scientific Medical Journal, Volume:3 Issue: 43, 2005
Page:
88
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