Search In this Thesis
   Search In this Thesis  
العنوان
Role of Diagnostic Laparoscopy in Management
of Acute Abdomen of Unknown Aetiology /
المؤلف
Mithany, Reda Harby Marzouk.
هيئة الاعداد
باحث / Reda Harby Marzouk Mithany
مشرف / Mahmoud Ahmed El-Shaf’ey
مشرف / Hesham Mohamed Ali Omran
مناقش / Mohamed Gamal Abd El-Rahman
تاريخ النشر
2019.
عدد الصفحات
105[p.:
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
جراحة
تاريخ الإجازة
1/1/2019
مكان الإجازة
جامعة عين شمس - كلية الطب - جراحة عامة
الفهرس
Only 14 pages are availabe for public view

from 105

from 105

Abstract

SUMMARY
A
cute abdominal pain (AAP) is a medical emergency, characterized by pain arising from the abdominal area, of non-traumatic origin with a maximum duration of five days. It is the most common surgical emergency, one of the most common reasons for referral to an emergency department (ED) and the most common cause for non-trauma-related hospital admissions.
Despite substantial improvement in the diagnostic approach to AAP, mainly attributable to the extensive use of imaging techniques [especially computed tomography (CT)], many diagnostic pitfalls remain, which can be associated with a substantial number of misdiagnoses and/or avoidable surgery.
Acute appendicitis, diverticulitis, cholecystitis, and bowel obstruction are common causes of acute abdominal pain, but other important, even if less frequent conditions, that may cause acute abdominal pain include perforated viscus or vascular diseases such as aortic dissection and mesenteric ischemia.
The current study is a prospective study randomized by closed envelope method which has been carried out in Ain Shams University Hospitals over the period from January 2018 to December 2018.
Maximum number of patients was aged 26 to 30 years (9 patients i.e. 30.0%). Least number of patients was from age group of 31-35 years. Number of female patients of acute abdomen was slightly more than that of male patients, due to increased number of cases of acute cholecystitis in females. The most common cause of acute abdomen in this study was acute appendicitis, while the least common causes were pelvic inflammatory disease and mickel’s diverticulitis equally. Laparoscopy was done in all cases (100%); therapeutic laparoscopy was successful in 22 cases (73.30%) while 8 (26.7%) patients required to be converted to conventional exploratomy laparotomy. Complications related to laparoscopy in our study were observed in 15 out of 30 cases (50%); with shoulder pain is the most common one.
The aim of this study is to evaluate the role of laparoscopy in the diagnosis and treatment of unexplained acute abdominal pain and establish it instead of conventional exploratory laparotomy and Provide educational preliminary laparoscopy courses for the junior staff. In addition to supporting the laparoscopy as an emergency tool in the first 24 hours of patients’ admissions at the emergency department