DIAGNOSTIC LAPROSCOPY FOR COMMON INTRAPERITONEAL PATHOLOGIES AMONG PATIENTS OF NON ACUTE ABDOMINAL PAIN HAVING NORMAL BASELINE INVESTIGATIONS
Objective: To determine the frequency of common intra-peritoneal pathologies on diagnostic laparoscopy among
patients with non acute abdominal pain having normal baseline investigations.
Methodology: This Descriptive cross sectional study was conducted in Surgical B Unit Hayatabad Medical Complex
Peshawar from January 2014 to December 2015. All the patients Between 16 to 60 years of age, of either gender,
presented with non specific chronic abdominal pain having normal baseline investigations were included in this study.
Patients with confounding factors like previous extensive abdominal surgeries, unable to tolerate pneumoperitoneum,
uncorrectble bleeding disorders, chronic obstructive lung diseases or with extensive abdominal wall infection (e.g.,
cellulitis, soft tissue infection, open wounds) were excluded from the study. An informed written consent was obtained
after explaining the pros and cons of the study. Patients’ demographic data was recorded on approved proforma.
Results were analysed by SPSS version 20 and represented in tables.
Results: Total 137 patients were included in which majority were in 3rd and 4th
decades (65%) with males predomi-
nance(52%) . Among pathologies diagnosed appendicitis 34(25%) was the most common pathology detected followed
by abdominal tuberculosis 55(40%) and overian cyst was found in 21(15%) patients.
Conclusion: In patients of non acute abdominal pain having normal baseline investigations diagnostic laproscopic
has high rate of detection for different pathologies and most common among them is acute appendicitis followed by
abdominal tuberculosis and overian cysts.
Key Words: Diagnostic laproscopy, Non acute abdominal pain, Normal base line investigations, Acute appendicitis.