Abstract
Background & Method: All the patients with chronic pain abdomen admitted in general surgery under the Department of surgery Index Medical College and Hospital, Indore. The patient is placed on the operating table with the legs straight or lithotomy position if female. The operating table is tilted head up or down by approximately 15 degree depends on the main area of examination. Compression bandage may be used on leg during the operation to prevent thromboembolism especially if patient is in lithotomy position.
 Result: Laparoscopy has been proved diagnostic as well as therapeutic in 82% of the cases enrolled in our study.
 Conclusion: Laparoscopy (diagnostic and therapeutic) is simple, safe, available and diagnostically accurate procedure but it is not non-invasive, non traumatic, nor the first choice for diagnosis. It should be reserved for those situations after non invasive methods fail to make a diagnosis.
 Keywords: laparoscopy, therapeutic, abdominal & diagnostic.
Highlights
History of present illness should elicit pain location, quality, duration, timing and frequency of recurrence, and factors that worsen or relieve pain[1]
Background & Method: All the patients with chronic pain abdomen admitted in general surgery under the Department of surgery Index Medical College and Hospital, Indore
Compression bandage may be used on leg during the operation to prevent thromboembolism especially if patient is in lithotomy position
Summary
History of present illness should elicit pain location, quality, duration, timing and frequency of recurrence, and factors that worsen or relieve pain ( eating or moving bowels)[1]. Patients presenting with pain abdomen more than 3 months in general surgery in M.Y. Hospital, Indore. Review of systems seeks concomitant GI symptoms such as gastroesophageal reflux, anorexia, bloating or “gas,” nausea, vomiting, jaundice, melena, hematuria, hematemesis, weight loss, and mucus or blood in the stool. Bowel symptoms, such as diarrhea, constipation, and changes in stool consistency, color, or elimination pattern, are important[3]. Past medical history should include nature and timing of any abdominal surgery and the results of previous tests that have been done and treatments that have been tried[5]. A drug history should include details concerning prescription and illicit drug use as well as alcohol
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