Abstract
DIAGNOSTIC AND THERAPEUTIC LAPAROSCOPY FOR CHRONIC ABDOMINAL PAIN IN CHILDREN

Rajesh Prasad Sah*, Rani Gupta Sah, Mahmood Shaukat

ABSTRACT

Background and Objective: Chronic abdominal pain is one of the most common complaints in children which is due to a wide variety of underlying medical or surgical causes. The objective of this study is to determine the key role of diagnostic laparoscopic in children with chronic abdominal pain and short stay in hospital. Methods: This study was carried out between 2008 and 2012, thirty children with chronic abdominal pain were evaluated with diagnostic laparoscopy in department of pediatric surgery Mayo Hospital Lahore. Ages varied from 4 to 12 years in which 20 were males and 10 females. Abdominal pain was presented from 4 weeks to 5 months. Extensive laboratory and imaging technique like USG and CT scan documented failed to clarify definitive diagnosis. Data was analyzed using SPSS 16.0. A p-value ï‚£0.05 was considered significant. Results: Out of 30 patients twenty two has the positive findings at Laparoscopy. Appendicitis (16), ovarian cyst (3), Meckel's diverticulitis (1), cecal adhesion (2) was final diagnosis. The histopathological confirmed eight normal appendix were removed. Laparoscopy was done for all cases and it revealed that sensitivity and specificity of laparoscopy was 90.91% and 87.50%, respectively. The overall diagnostic accuracy of laparoscopy for diagnosing a specific cause of CAP was 90%. The average hospital stay was 2 to 5 day. There was no postoperative complication appreciated. Conclusion: The results of this study showed that laparoscopy is considered as a valuable diagnostic as well as therapeutic tool in children for chronic abdominal pain with higher sensitivity and accuracy.

Keywords: Chronic abdominal pain, Children, diagnosis, laparoscopic appendectomy, therapeutic.


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