Role of Laparoscopy in Surgical Emergency

Abstract

Objective: To determine the frequency of diseases and make provisional diagnosis in patients who present with acute abdomen in emergency department.

Study Design: cross sectional study

Place and Duration of Study: This study was conducted at the Department of Surgery, District Headquarters Hospital (DHQ), Rawalpindi from August, 2020 to January, 2021.

Materials and Methods: 160 patients were enrolled in this study with differential diagnosis of pelvic inflammatory diseases, acute pancreatitis, perforated duodenal ulcer, enteric perforation, perforated appendices. Later on patients were subjected to the laparoscopy under general anesthesia & than proceeded for final treatment.

Results: The mean age of patients was 39.64±12.48 years. Male to female ratio was 1.6:1. The mean duration of pain was 4.34±1.08 hours. On laparoscopy, commonest diagnosis was made of appendicitis i.e. 101(63.13%) cases followed by cholecystitis found in 40(25%) cases.

Conclusion: This study concluded that the on laparoscopic findings the most common diagnosis was appendicitis which was found in 63.13% patients followed by cholecystitis in patients with acute abdomen, so in more than 88% percent of cases, diagnosis can be made with 100 % accuracy.