Laparoscopy for chronic abdominal pain |
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Authors: | M E Klingensmith D I Soybel D C Brooks |
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Institution: | (1) Department of Surgery, Brigham and Women's Hospital, Harvard Medical School, 75 Francis Street, Boston, MA 02115, USA, US |
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Abstract: | Background: This purpose of this investigation was to evaluate the utility of laparoscopy in patients with chronic abdominal pain.
Methods: A retrospective review was performed of 34 patients who underwent laparoscopy for chronic abdominal pain. Average patient
age was 39 years. The majority were women. Most had undergone abdominal surgery in the past.
Results: All procedures were performed laparoscopically. A positive finding was made in 65% of patients. Fifty-six percent of patients
underwent adhesiolysis, but 26% required no operative intervention other than laparoscopic exploration. Notably, 73% of patients
reported improvement in pain postoperatively, whether or not a positive finding had been made on laparoscopy.
Conclusions: This retrospective study suggests laparoscopy can identify abnormal findings and improve outcome in a majority of selected
cases. Recommendations are provided for patient selection. Prior abdominal surgery is not an absolute contraindication to
laparoscopic exploration for chronic abdominal pain.
Received: 16 April 1996/Accepted: 30 May 1996 |
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Keywords: | : Laparoscopy — Chronic abdominal pain — Adhesiolysis |
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