Surgery

Biography

Biography: Ahmed abdel monem

Abstract

Background ; Chronic abdominal pain is a troublesome dilemma confronting both the medical and surgical care professionals. These patients are submitted to a lot of diagnostic investigations but, regretfully, no precise aetiology of their problem could be elicited. Diagnostic laparoscopy, apart from visualizing a large part of the abdominal cavity , a precise targeted biopsy can be done. Laparoscopy offers also a theraputic solution for a lot of cause of chronic abdominal pain. Patient and Methods: Patient with the inclusion criteria underwent diagnostic laparoscopy for chronic abdominal pain over last two years from January 2012 to December 2013. The patient’s demographic data, length of time with pain, diagnostic studies, intra-operative findings, interventions and follow-up were determined. Statistical methods:descriptive statistics of included patients were summarized graphically and by tabulation . Analytical statistics including associations between qualitative and quantitative variables was done by chi-squared test (for qualitative variables) and Kruskal-Wallis test (for qualitative/quantitative data associations ) . Asignificance level of P<0.05 was set. Results: in this study, 66 patients (45 female and 21male) with an average age of 25 years underwent diagnostic laparoscopy for the evaluation and treatment of chronic abdominal pain. The average duration of pain was 19,5 weeks. Findings included intra-abdominal tuberculousis in 4 patients, internal herniation in 2 patients, significant intra-abdominal adhesions in 12 patients, secondary intessusception in two patients, small intestinal stone in one patients, intestinal lymphoma in one patients, abdominal lymphadenopathy due to lymphoma in 2 patients, ceacal diverticulum in 2 patients and subacute appendicitis in 20 patients. Conclusion: Diagnostic laparoscopy seems to be a simple, rapid and an effective diagnostic tool in evaluating patients with chronic abdominal pain, in whom conventional methods of investigations have failed to elicit a certain cause with the advantages that it is an effective therapeutic tool and accurate and easy tissue sampling.