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Role of Laparoscopy in Abdominal Tuberculosis Diagnosis
TB PCR is a highly sensitive method. In our study, it was positive Laparoscopy with tissue biopsy and cultures provides the most
in (38/50) 76% of patients who were diagnosed to have TB in reliable, rapid, and correct diagnosis of abdominal TB preventing
laparoscopy. The association was statistically significant (p <0.05). the need for more expensive procedures. In conclusion, for the
The sensitivity of the test was 97.4%, and the specificity was 100%. diagnosis of abdominal TB, laparoscopy can be used as a primary
The positive predictive value was 100%, and the negative predictive investigation rather than the last resort, and the threshold for
value was 91.66%. diagnostic laparoscopy should not be too high.
Gene Xpert is a newer technique that is based on the same
principle as PCR. In our study, it was found to be present in (39/50) references
78% of the cases diagnosed after laparoscopy. Hence, it is a highly
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148 World Journal of Laparoscopic Surgery, Volume 14 Issue 3 (September–December 2021)