LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN

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VEJDAN S.A.K.; NASEH GH.A.; MODAGHEGH H.; KHOSRAVI MALIHEH; KARBASI S.H.

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Journal: Research in Medicine Year:2010 | Volume:34 | Issue:2 Page(s): 137-141

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Title

LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN

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Keywords

LAPAROSCOPIC SURGERYQ3

CHRONIC POST-PRANDIAL ABDOMINAL PAINQ3

ADHESIOLYSISQ3

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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APA: Copy

VEJDAN, S.A.K., NASEH, GH.A., MODAGHEGH, H., KHOSRAVI, MALIHEH, & KARBASI, S.H.. (2010). LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN. PAJOUHESH DAR PEZESHKI, 34(2), 137-141. SID. https://sid.ir/paper/41588/en

Vancouver: Copy

VEJDAN S.A.K., NASEH GH.A., MODAGHEGH H., KHOSRAVI MALIHEH, KARBASI S.H.. LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN. PAJOUHESH DAR PEZESHKI[Internet]. 2010;34(2):137-141. Available from: https://sid.ir/paper/41588/en

IEEE: Copy

S.A.K. VEJDAN, GH.A. NASEH, H. MODAGHEGH, MALIHEH KHOSRAVI, and S.H. KARBASI, “LAPAROSCOPIC EVALUATION FOR CHRONIC POST OPERATIVE ABDOMINAL PAIN,” PAJOUHESH DAR PEZESHKI, vol. 34, no. 2, pp. 137–141, 2010, [Online]. Available: https://sid.ir/paper/41588/en

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