dc.contributor.author |
Siriwardana, R.C. |
en_US |
dc.contributor.author |
Renuka, S. |
en_US |
dc.contributor.author |
Kumarage, S. |
en_US |
dc.date.accessioned |
2014-10-29T09:28:14Z |
|
dc.date.available |
2014-10-29T09:28:14Z |
|
dc.date.issued |
2010 |
en_US |
dc.identifier.citation |
Surgical Endoscopy. 2010; 24(11): 2793-5 |
en_US |
dc.identifier.issn |
0930-2794 (Print) |
en_US |
dc.identifier.issn |
1432-2218 (Electronic) |
en_US |
dc.identifier.uri |
http://repository.kln.ac.lk/handle/123456789/1965 |
|
dc.description |
Indexed in MEDLINE |
en |
dc.description.abstract |
BACKGROUND: Management of chronic right iliac fossa (CRIF) pain is poorly documented in literature. No guidelines are available on the best therapeutic approach. METHOD: Patients presenting from October 2007 to August 2009 with pain persisting or recurring in right lower abdomen over a period of 6 weeks or more were assessed. Severity of CRIF pain was documented using a ten-point visual analogue scale. Initial history and examination were followed by urine analysis, blood counts, X-ray and ultrasound scan of the abdomen. Full colonoscopy was performed in all negative cases. Diagnostic or therapeutic laparoscopy was offered to patients with normal initial investigations. The normal-looking appendix was removed in the absence of other positive laparoscopic findings. Patient's immediate complications, pain score at 8 weeks and histology of appendix were assessed. RESULTS: Nineteen patients with median age of 43 years (range 32-52 years) underwent laparoscopy. All were female. Median pain score was 5 (range 4-6). During surgery, 12 (64%) had positive findings. Of these, 6 (30%) had adhesions, which were separated. Three patients with congested appendices were removed. One caecal perforation, tubal mass and ovarian cyst were treated laparoscopically. Seven (36%) patients who had macroscopically normal appendices underwent appendicectomy. There were no immediate postoperative complications. Significant improvement was seen in overall pain score after surgery (median 5, range 4-6 versus median 0, range 0-6; p = 0.001). However, only 57% of patients with normal appendix had improved pain scores (median 5, range 4-6 versus median 1, range 0-6; p = 0.12). All patients with positive laparoscopic findings improved after surgery. CONCLUSION: Laparoscopy seems effective in evaluation and treatment of CRIF pain. The role of appendicectomy with normal-looking appendix needs further evaluation |
|
dc.publisher |
Springer International |
en_US |
dc.title |
Laparoscopy as a diagnostic and therapeutic option in evaluating chronic unexplained right iliac fossa pain |
en_US |
dc.type |
Article |
en_US |
dc.identifier.department |
Surgery |
en_US |
dc.creator.corporateauthor |
Society of American Gastrointestinal Endoscopic Surgeons |
en_US |
dc.creator.corporateauthor |
European Association for Endoscopic Surgery |
en_US |