Page 13 - Journal of World Association of Laparoscopic Surgeons

Role of Diagnostic Laparoscopy in Chronic Abdominal Pain with Uncertain Diagnosis

Figs 1A to C: Insertion of (A) Infraumbilical port; (B) Hasson's cannula; (C) Additional ports

Table 1: Demographic details including history of patients with Contd...
chronic abdominal pain

Variables n (%)
Variables n (%) History

Sex Previous LSCS 3 (5.45)
Male 19 (34.55) Hypertension 2 (3.64)
Female 36 (65.45) Hysterectomy 2 (3.64)
Age (years) LSCS and tubectomy 2 (3.64)
18–30 21 (38.18) Tubectomy 2 (3.64)
31–40 14 (25.45) Laparoscopic adhesiolysis for intestinal obstruction 1 (1.82)
41–50 11 (20) Open appendectomy 1 (1.82)
51–60 3 (5.45) Right hemicolectomy 1 (1.82)
61–70 6 (10.91) Tuberculosis 1 (1.82)
Marital status Not significant 40 (72.73)
Single 8 (14.55) Abdominal examination
Married 47 (85.45) Lower abdominal tenderness 25 (45.45)
Education Generalized tenderness 24 (43.63)
Studying 12 (21.82) Suprapubic tenderness 2 (3.64)
Primary 2 (3.64) Upper abdominal tenderness 2 (3.64)
Secondary 10 (18.18) Umbilical tenderness 2 (3.64)
Graduate 30 (54.55) LSCS, lower segment cesarean section
Postgraduate 1 (1.82)
Clinical presentation they during pregnancy, such as cesarean sections, hysterectomy,
Fever 23 (41.82) and tubectomy. Similar sex-distribution pattern was observed in
2,4,12
Diarrhea 2 (3.64) other studies in the literature. One-third of the patients in the
Constipation 2 (3.64) study were aged between 18 years and 30 years. This indicates that
Burning micturition 1 (1.82) the occurrence of chronic abdominal pain is mostly in younger
11,12
individuals.
Others 1 (1.82) The physical examination in patients with chronic abdominal
Contd... pain varies depending upon the location of pain and chronicity of

World Journal of Laparoscopic Surgery, Volume 12 Issue 1 (January–April 2019) 11