The unclear lower abdominal pain can be problematic for the surgeon although modern diagnostics and technical equipment are applied. We present the experiences in a retrospective study carried out in our hospital since beginning of laparoscopy in unclear lower abdominal pain. The laparoscopic diagnostic provides valuable additional informations for the further treatment. We can get important informations about differential diagnosis of appendicitis, especially of young women and old patients. The laparoscopy as a minimal invasive diagnostics goes together with a high benefit for the patients and a low rate of complications.
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