Journal Paper

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Journal: PAJOUHESH DAR PEZESHKI | Year:1389 | Volume:34 | Issue:2 | Start Page:137 | End Page:141

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Title

LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN

Pages

 Start Page 137 | End Page 141

Abstract

 Background: Approximately 20% of patients undergoing laporotomy experience CHRONIC POST-PRANDIAL ABDOMINAL PAIN for months after operation. Most surgeons are wary of re-operation in this condition, and opt for conservative treatment with analgesics and sedatives. This study was performed to determine the cause of this chronic abdominal pain by means of laparoscopy.Methods: Elective LAPAROSCOPIC SURGERY was performed on 76 patients suffering from chronic post-operative abdominal pain. They did not have any signs and/or symptoms of acute intestinal obstruction the most common complaints were: abdominal pain in 100%, nausea in 30%, vomiting in 10%. Diagnostic laparoscopy was performed and cases with positive findings were treated by laporoscopic surgery.Results: In 81% of patients the cause of pain was obvious intestinal adhesions, 10% had adhesions without any correlation to patient's symptoms and the remaining 9% did not have any positive finding on diagnostic laparoscopy. ADHESIOLYSIS, (sharp release with scissors) is the treatment of choice.95% of those patients who underwent ADHESIOLYSIS became pain free for a mean average of 11 months follow up (pre-operative average of pain episode was 4 time per week).Conclusion: Laparoscopic diagnosis and treatment of chronic post-laparotomy pain is the gold standard method, it is minimally invasive and has good results.

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