alexa Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy | OMICS International
ISSN: 2168-9784

Journal of Medical Diagnostic Methods
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy

Karamanakos Stavros, Zygomalas Apollon*, Makri Roza and Kehagias Ioannis
Department of General Surgery, University Hospital of Patras, Greece
Corresponding Author : Apollon Zygomalas
Department of General Surgery, School of Medicine
University of Patras, Rion University Hospital, 26500, Patras, Greece
Tel: +30-2610-999300
E-mail: [email protected]
Received May 29, 2013; Accepted August 27, 2013; Published August 30, 2013
Citation: Karamanakos S, Zygomalas A, Makri R, Kehagias I (2013) Fever of Unknown Origin Associated with Intrabdominal Lymphadenopathy, the Efficiency of Laparoscopic Biopsy. J Med Diagn Meth 2: 134 doi:10.4172/2168-9784.1000134
Copyright: © 2013 Stavros K, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Introduction: Prolonged fever is a difficult to diagnose febrile disorder appositely termed Fever of Unknown Origin. Abdominal lymphadenopathy mandates diagnostic set up with tissue biopsy in cases where percutaneous biopsy is not feasible or it fails to establish diagnosis.

The aim of this study is to evaluate the safety, efficacy and diagnostic yield of laparoscopic lymph node biopsy in patients with Fever of Unknown Origin associated with intrabdominal lymphadenopathy.


Materials and methods: The medical records of patients subjected to laparoscopic lymph node biopsy from August 2005 to December 2011 were revised retrospectively. Data collected from our prospective database included patient demographics, anatomical site of lymph node biopsy, operative time, conversion rate, morbidity, mortality, hospital stay and pathology results.


Results: During the study period 32 patients were subjected to laparoscopic lymph node biopsy. The mean operative time was 40min. No intraoperative complications were recorded. There was no conversion to open. The root of the mesentery was the most common site of biopsy and non-Hodgkin lymphoma was the most common diagnosis. All patients had an uneventful recovery and the mean length of stay was 1.8 days. Diagnosis was successfully established in all but one patient where tissue sample was insufficient (diagnostic yield: 96.9%).


Conclusion: Laparoscopic lymph node biopsy is a safe procedure with a high diagnostic yield. It can be performed on an outpatient basis and it should be offered in all patients with Fever of Unknown Origin associated with intrabdominal lymphadenopathy when percutaneous techniques are unsuccessful or not feasible.

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2017-18
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2017 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version