|| ISSN(online): 2589-8698 || ISSN(print): 2589-868X || International Journal of Medical and Biomedical Studies Available Online at www.ijmbs.info NLM (National Library of Medicine ID: 101738825) Index Copernicus Value 2019: 79.34 Original Research Article Volume 4, Issue 12; December: 2020; Page No. 77-81 77 | Page DIAGNOSTIC LAPAROSCOPY IN CHRONIC AND RECURRENT ABDOMINAL PAIN MANAGEMENT Dr Abhishek Jina 1 , Dr Abhinav Chaudhary 2 , Dr U C Singh 3 1 Assistant Professor, Department of Surgery, BRD Medical College, Gorakhpur 2 Assistant Professor, Department of Surgery, Maharshi Vashistha Autonomous State Medical College, Basti 3 Professor, Department of Surgery, BRD Medical College, Gorakhpur Article Info: Received 10 November 2020; Accepted 14 December 2020 DOI: https://doi.org/10.32553/ijmbs.v4i12.1578 Corresponding author: Dr Abhinav Chaudhary Conflict of interest: No conflict of interest. Abstract Background: Chronic abdominal pain is a common condition encountered by many surgeons in their clinic every day. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated. Material and Methods: All the patients who visited the outpatient department with chronic abdominal pain were included in this study. All the demographic parameters were included and after careful investigation diagnostic laparoscopy were conducted in all these patients. The postoperative outcomes were also recorded in all the patients. Result: Total of 51 patients was included in this study. Among these patients 23 patients were male and 28 patients were female. Maximum of the patients were in the 31-40 years of age group. The most common pathology for chronic abdominal pain was chronic appendicitis (n=9, 18%) followed by Koch's abdomen and adhesions (n=8, 16%). There were 4 cases of Carcinoma of the gall bladder and 3 cases of metastatic disease with dissemination in the peritoneal cavity and ascitis. 3 cases of liver cirrhosis and 3 cases of endometriosis were also detected. 2 cases of ovarian cysts which were missed by USG were detected correctly by laparoscopy. There were two unusual cases, one of chronic ectopic pregnancy and another of Crohn's disease. All the above findings were confirmed by direct visualizing (86%), or by biopsy (74%) or by fluid analysis. There were no long term complications in our study. Conclusion: The present study concluded that laparoscopy is a safe and effective method for diagnosis of chronic abdominal pain. Keywords: Chronic abdominal pain, diagnostic laparoscopy, recurrent abdominal pain Introduction: Abdominal pain is one of the common presentations in surgical practices. It is a commonly found complication faced by many of the surgeons in their clinic. Despite of availability of different tests in maximum cases the reason behind the pain remains unknown and results in poor quality of life. Intestinal adhesions are the most common organic condition associated with abdominal pain. In patients with past history of abdominal operations and even in cases of abdominal tuberculosis this is commonly found (1). The basic diagnosis is mainly made by clinical examination alone or in critical cases, ultrasonography or a computed tomography scan is recommended. However, studies have shown that in approximately 40% of the cases the etiology behind the recurrent abdominal pain remains undiagnosed (2). These undiagnosed abdominal pain cases are often referred to as the unexplained chronic abdominal pain or commonly as UCAP (3). Therefore, it is a great challenge for a physician to detect accurately the correct etiology of the chronic abdominal pain and thus decide the proper treatment regimen. Laparoscopy recently been used in many studies for visualization of the peritoneal cavity and thus has been proved to be a useful technique in diagnosing the exact cause of the chronic abdominal pain. In addition to the visualization, this technique is also useful in fluid analysis and in targeted biopsy studies (2–5). In a maximum of the patients with chronic and recurrent abdominal pain correctly diagnostic laparoscopy can identify the etiology and can help in improvement of the condition. Diagnostic Laparoscopy is a safe technique that can identify the cause of the pain without using any invasive method. In the present study, the use of diagnostic laparoscopy in the diagnosis and management of chronic and recurrent abdominal pain of unknown origin was investigated. Material and Method This prospective study was conducted in patients with chronic abdominal pain and who were referred to or admitted to the Department of General Surgery, Baba Raghav Das