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Original Research | General Surgery | Volume 15 Issue 5, May 2026 | Pages: 1429 - 1432 | India
Diagnostic and Therapeutic Value of Laparoscopy in Patients with Acute and Chronic Abdomen: An Observational Study
Abstract: Background: Diagnostic laparoscopy is an effective minimally invasive modality for evaluating patients with acute and chronic abdominal conditions when conventional investigations are inconclusive. It also allows simultaneous therapeutic intervention. Methods: This single-center observational study, incorporating prospective and retrospective components, was conducted in the Department of General Surgery, Lokmanya Tilak Municipal Medical College and General Hospital, Sion, Mumbai, from January 2020 to December 2021. Fifty adult patients undergoing diagnostic laparoscopy for undetermined abdominal pathology were included. Demographic profile, clinical presentation, radiological findings, intraoperative diagnosis, procedures performed, and complications were analyzed. Results: The majority of patients belonged to the 31-40 years age bracket (36%); 52% were male. Abdominal pain was present in all patients. Diagnostic laparoscopy identified appendicitis in 40%, postoperative adhesions in 28%, mesenteric lymphadenopathy in 16%, metastatic disease in 16%, ileocecal thickening in 12%, and other pathologies including pancreatic and colonic malignancies. Therapeutic interventions included mesenteric lymph node biopsy (32%), adhesiolysis (30%), and appendectomy (20%). Conversion to open surgery was required in selected cases (8%). No procedure-related complications were observed. Conclusion: Diagnostic laparoscopy appears to be a safe and effective modality for establishing diagnosis and enabling therapeutic intervention in selected patients with acute or chronic abdominal pathology when noninvasive investigations are inconclusive.
Keywords: Diagnostic laparoscopy, acute abdomen, chronic abdominal pain, minimally invasive surgery, abdominal diagnostics
How to Cite?: Dr. Pranav Purohit, Dr. Devbrata Adhikari, Dr. Poornima Jalendra, Dr. Gomathi Meenakshi, Dr. Pooja Parte, Dr. Mohan A. Joshi, "Diagnostic and Therapeutic Value of Laparoscopy in Patients with Acute and Chronic Abdomen: An Observational Study", Volume 15 Issue 5, May 2026, International Journal of Science and Research (IJSR), Pages: 1429-1432, https://www.ijsr.net/getabstract.php?paperid=MR26522213948, DOI: https://dx.dx.doi.org/10.21275/MR26522213948