THE ROLE OF LAPAROSCOPY IN UNCERTAIN DIAGNOSIS OF ACUTE PAIN IN THE RIGHT ILIAC FOSSA

Abstract

Laparoscopy is a good tool in the management of many pathological condition in elective and acute cases. Laparoscopy is used in diagnosis of cases of right lower abdominal pain especially in females, while it could diagnose other pathological conditions affecting small and large bowel (Paterson-Brown et al, I 989). Appendicitis is the commonest pathology that explains right iliac fossa pain (Addiss et al, 1990). Other conditions could be presented with right iliac fossa pain especially in fen1ales (Spirtos and Eisenkop, 1987). The widespread acceptance of the technique has been largely propelled by public awareness that laparoscopic surgery is associated with less pain, short hospital stay, quick return to normal activities and better cosmotic results (Mori et al, 1995). Acute appendicitis is a common general surgical problem that may be difficult to diagnose. Laparoscopy is an excellent aid in diagnosis and laparoscopic appendectomy can be performed easily. Laparoscopic appendectomy is becoming much more attractive as it allows outpatient or overnight stays in the hospital and enables the patient to return normal activity in few days without discomfort and disfigurement (Zaninotto et al,I995).