World Journal of Laparoscopic Surgery

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VOLUME 17 , ISSUE 2 ( May-August, 2024 ) > List of Articles

Original Article

Role of Early Laparoscopy in Acute Nonspecific Abdominal Pain at Suez Canal University Hospitals

Ahmed M Ghanem, Goda M El-labban, Marwan S Mohamed, Ahmed H Hussein

Keywords : Abdominal pain, Acute abdomen, Laparoscopy, Nonspecific

Citation Information : Ghanem AM, El-labban GM, Mohamed MS, Hussein AH. Role of Early Laparoscopy in Acute Nonspecific Abdominal Pain at Suez Canal University Hospitals. World J Lap Surg 2024; 17 (2):108-112.

DOI: 10.5005/jp-journals-10033-1614

License: CC BY-NC 4.0

Published Online: 18-04-2024

Copyright Statement:  Copyright © 2024; The Author(s).


Introduction: Nonspecific acute abdominal pain (NSAP) is considered a serious problem in the surgical field. To assess this condition, many approaches have been used, such as observation and early laparoscopy. Methods: This prospective interventional study was conducted at the tertiary care hospital in the Department of General Surgery and the Department of Emergency at Suez Canal University Hospital on 50 patients who presented with NSAP; the outcomes of early laparoscopy versus clinical observation were compared. Results: The current study results revealed that the definitive diagnosis was achieved in 88% of cases in the laparoscopy group and 80% of cases in the conservative group. The laparoscopy could recognize a pathology in 22/25 cases. Therefore, our research presents a diagnostic yield of 88% which aligns with other studies that have shown comparable rates of high definitive diagnostic rates (between 86 and 100%). Conclusion: Diagnostic laparoscopy (DL) is a safe and very effective minimally invasive therapeutic and diagnostic method, as it is used to identify and treat acute abdominal diseases. It minimizes morbidity, permits treatment and diagnosis in the same facility in most cases, shortens hospital stays, and reduces investigative costs.

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  1. Melkunde BD, Ranbagle PV, Sarfaraj P. A clinical study of the role of laparoscopy in acute abdomen. Indian J Basic Applied Medl Res 2018;7(4):5–10. Available from:
  2. Abbas A, Borham W, El Ghadban H, et al. Early laparoscopy in the management of acute nonspecific abdominal pain: Is it mandatory? Ann Emerg Surg 2017;2(5):1023. DOI:
  3. Thawait A, Dwivedi S, Bhatt M, et al. Role of early laparoscopy in diagnosis of acute abdominal pain. Int J Contemp Med Res 2017;4(7):1568–1574. ISSN: 2393-915X; Print: 2454-7379.
  4. Domínguez LC, Sanabria A, Vega V, et al. Early laparoscopy for the evaluation of nonspecific abdominal pain: A critical appraisal of the evidence. Surgical endoscopy 2011;25(1):10–18. DOI: 10.1007/s00464-010-1145-4.
  5. Ram K, Chandana S. A study of the role of diagnostic laparoscopy in 25 cases of acute abdomen. Int Surg J 2017;4(8):2585–2588. DOI:
  6. Navez B, Navez J. Laparoscopy in the acute abdomen. Best Pract Res Clin Gastroenterol 2014;28(1):3–17. PMID: 24485251.
  7. Stefanidis D, Richardson WS, Chang L, et al. The role of diagnostic laparoscopy for acute abdominal conditions: An evidence-based review. Sur Endosc 2009;23(1):16–23. DOI: 10.1007/s00464-008-0103-x.
  8. Subramaniam R. Diagnostic laparoscopy in acute abdominal pain. Int Surg J 2019;6(4):1104–1107. DOI: 10.18203/2349-2902.isj20191029.
  9. Moore KL, Dalley AF. Clinically Oriented Anatomy. Wolters Kluwer (India) Pvt Ltd; 2018, p. 1480.
  10. Lambert G, Samra NS. Anatomy, Abdomen and Pelvis, Retroperitoneum. InStatPearls. 2021. Treasure Island (FL): StatPearls Publishing.
  11. Babannavar PB, Thejeswi P, Rao SP, et al. Role of laparoscopy in diagnosis and management of acute abdomen: In South Indian population. Internet J Surg 2013;30(4):1–8. Available from:
  12. Sharaf MF, Ghalwash ET, Ali AA. Role of laparoscopy in diagnosis and treatment of acute abdominal pain. Egyptian J Hospital Med 2020;79(1):442–445. DOI: 10.21608/EJHM.2020.80838.
  13. Rubbia A, Faryal GA, Javeria I, et al. Role of diagnostic laparoscopy in patients with acute or chronic nonspecific abdominal pain. World J Lap Surg 2010;8(1):7–12. DOI: 10.5005/jp-journals-10033-1237.
  14. Morino M, Pellegrino L, Castagna E, et al. Acute nonspecific abdominal pain: A randomized, controlled trial comparing early laparoscopy versus clinical observation. Anna Surg 2006;244(6):881–886. DOI: 10.1097/
  15. Townsend CM, Beauchamp RD, Evers BM, et al. Sabiston Textbook of Surgery. Elsevier Health Sciences: Texas, 2016, p. 2144.
  16. Agresta F, Mazzarolo G, Ciardo LF, et al. The laparoscopic approach in abdominal emergencies: Has the attitude changed? A single-center review of a 15-year experience. Surgical Endosc 2008;22(5):1255–1262. DOI: 10.1007/s00464-007-9602-4.
  17. Mehta S, Juneia I, Udani D. Role of diagnostic laparoscopy in management of acute abdomen. Internet J Surg 2008;20(1):1–11. Available from:
  18. Karamanakos SN, Sdralis E, Panagiotopoulos S, et al. Laparoscopy in the emergency setting: A retrospective review of 540 patients with acute abdominal pain. Surg Laparosc Endosc Percutan Tech 2010;20(2):119–124. DOI: 10.1097/SLE.0b013e3181d87178.
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