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DC Field | Value | Language |
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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 |
Appears in Collections: | Journal/Magazine Articles |
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