Evaluation of the Results of Diagnostic Laparoscopy in Baghdad Teaching Hospital
Abstract
ABSTRACTBackground: To face uncertain diagnosis after utilizing all available laboratory and non-invasive diagnostic modalities. Diagnostic laparoscopy may help in avoiding unnecessary laparotomy, provide accurate diagnosis and plan optimal therapy.
Objectives: This study details the outcome and experience of diagnostic laparoscopy at Baghdad Teaching Hospital and its outcome.
Methods: A case series study conducted on 100 patient submitted to diagnostic laparoscopy in the period between May 2008 and Jan 2011 according to age, gender, indication for the procedure, whether therapeutic intervention was taken and the type of intervention done at time of laparoscopy or later.
Results: In selected cases diagnostic laparoscopy helped avoid a formal exploration in 73% with a high diagnostic outcome in 99% and operative intervention in 44%. Abdominal pain and infertility comprised 59% of the indications for diagnostic laparoscopy. Diagnoses found included ovarian cysts 11%, cholecystitis 10%, patent tubes 10%, blocked tubes 9%, appendicitis 9%, abdominal TB 6%, and other miscellaneous diagnoses.
Conclusion: Diagnostic laparoscopy proved to be very useful and safe in establishing diagnosis in selected cases, performing operative laparoscopic procedures and avoiding laparotomies, with no specific complications encountered.
Keywords: Laparoscopy, Diagnostic laparoscopy.
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