Intérêt de la laparoscopie dans la prise en charge des douleurs abdominales chroniques dans le service de chirurgie "A" du CHU du Point G

Aim: to evaluate the contribution of laparoscopic surgery in the management of chronic abdominal pains which etiology is unspecified. Results: 52 patients suffering from chronic abdominal pain for 3 months have been listed. They were 36 women and 16 men, with a sex-ratio of 2.25. The pathologies found in laparoscopy were: 16 cases of adherences, 16 cases of gynaecological diseases, 6 cases of chronic appendicitis, 5 cases of chronic cholecystitis, 6 cases of abdominal tumors and 3 cases of intra uterine dispositif in abdomen. Conversion to laparotomy was not made and mortality was null. No lesion was found in 11.54% of cases. The mean duration of hospitalization was 2 days. The duration of follow-up of the patients was 18 months with a minimum of 6 months and a maximum of 24 months. No painful symptomatology was found in 6 months in 88.46% of the cases. A persistent stomach pains were found in 3% of the cases. 8.54% of the patients had an improvement of symptomatology. Conclusion: Chronic abdominal pains put a diagnosis problem in surgery. Laparoscopy is a reference technique to diagnose this pain and to discuss them. Keywords: Chronic abdominal pains, laparoscopy