Year: 2025 | Month: December | Volume: 15 | Issue: 12 | Pages: 33-39
DOI: https://doi.org/10.52403/ijhsr.20251204
A Retrospective Study on Role of Diagnostic Laparoscopy and Laparoscopic Appendectomy in Chronic Right Iliac Fossa Pain
Dr. Debabrata Saha1, Dr. Subhadip Jana2, Dr. Dipayan Mondal3
Department of General Surgery, IQ City Medical College and Hospital,
Mohanbagan Ave, Durgapur-713206, India.
Corresponding Author: Dr. Debabrata Saha
ABSTRACT
INTRODUCTION: Pain in right lower abdomen is commonly encountered by general surgeons in daily practice. Diagnosis of underlying cause accurately and deciding the appropriate management can be a significant challenge. For patients with chronic right iliac fossa pain, after taking history, clinical examinations routine blood tests and imaging, if the diagnosis remains uncertain, and the radiological report shows ambiguous findings, diagnostic laparoscopy can be a valuable minimal invasive approach for exploration and management in recent era.
AIM OF STUDY: To study the role of diagnostic laparoscopy and appendectomy in management of chronic right iliac fossa pain.
MATERIALS AND METHODS: A retrospective study of 86 patients of age between 10 to 70 years presented with chronic right iliac fossa pain who attended in the Department of general surgery, I Q city Medical College and Hospital, Durgapur over a period of January 2020 to September 2024. All patient underwent diagnostic laparoscopy and managed according to the findings.
RESULT: Out of total 86 patients, positive findings were found in 98.3% and no visible gross findings in 1.7%. Females (79%) are more commonly presented in this study. Recurrent appendicitis is most common (72.1%) findings. Finally, 82.56% patient got relieved from chronic pain abdomen. Patients with positive diagnostic laparoscopy findings had a statistically significant (P-value 0.036) pain
CONCLUSION: Diagnostic laparoscopy is very much helpful for diagnosis and management of chronic right iliac fossa pain especially when there is diagnostic dilemma. Major cause of pain abdomen is recurrent appendicitis. After proper selection of patient chronic right lower abdominal pain can be relieved significantly by elective laparoscopic appendectomy with very low morbidity and mortality.
Key words: Chronic right iliac fossa pain, Diagnostic laparoscopy, laparoscopic appendectomy, Recurrent appendicitis.