Diagnostic Laparoscopy for Unexplained Abdominal Pain

NCT ID: NCT06193798

Last Updated: 2024-01-22

Basic Information

• Recruitment Status: NOT_YET_RECRUITING
• Total Enrollment: 20 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2024-03-20
• Study Completion Date: 2026-11-11

Brief Summary

To evalute the efficiency and safety of diagnostic laparoscopy for patients who have unexplained abdominal pain after completing all needed imaging and laboratories in general surgery depatment Assuit university hospital

Detailed Description

Abdominal pain may be a simple thing or it may be a dangerous and life threatening one.It is very difficult to come to a correct diagnosis(1).Diagnostic laparoscopy gives many advantages in the management of many intra-abdominal conditions where the correct diagnosis could not establish clinically or even with the help of imaging studies(2).Diagnostic laparoscopy can be done under direct vision using simple instruments of laparoscopy. With advances in optics, laparoscopy allows visualization of entire peritoneal cavity and further makes possible histological diagnosis of target biopsy under vision(3).In case of diagnostic uncertainty, laparoscopy may help to avoid unnecessary laparotomy, provides accurate diagnosis, helps to plan surgical treatment, improves the outcome in the majority of patients with abdominal pain and allows surgeons to diagnose and treat many abdominal conditions that cannot be properly managed otherwise(4).Many factors like high diagnostic yield, its applicability and therapeutic management in both elective and emergency setups, reduced hospital stay, low morbidity, and expenditure have made this treatment modality most popular(5). On the otherhand there are Complications related to laparoscopic surgery up to one-half of complications occur at the time of abdominal access for camera or port placement , Others arise from abdominal insufflation, tissue dissection, and hemostasis .Conversion to an open procedure may be needed to manage complications (6).Recent treatises deficient in evalution of the role of lap in cases with vague abdominal pain for this the interest of our study is to evalute the efficiency and safety of diagnostic laparoscopy for patients who have unexplained abdominal pain after completing all needed imaging and laboratories.

Conditions

Abdominal Pain

Study Design

• Observational Model Type: OTHER
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

Inclusion Criteria

• Patients with obscure abdominal pain
• Age from 18 years old up to 70 years old

Exclusion Criteria

1. Current use of narcotics

2. patients have uncontrolled coagulopathy

3. Patients are Haemodynamically unstable

4. patients have Cardiopulmonary problems

5. Patients refusing the diagnostic laparoscopy after routine investigations

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 70 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

Nouran

Nouran Mohsen abdelshakour

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Mostafa Hamed

Role: STUDY_DIRECTOR

Assiut University

Central Contacts

Nouran Mohsen, Doctor

Role: CONTACT

nouranmohsen112@gmail.com

01025729935

Mostafa Mahmoud, prof

Role: CONTACT

Mostafa.sayed1974@gmail.com

01118005677

References

Ning N, Xia SY, Ma B, Li R, DU XH. [Application of laparoscopic technique in acute abdomen of gastrointestinal surgery]. Zhonghua Wei Chang Wai Ke Za Zhi. 2013 Oct;16(10):960-2. Chinese.

Reference Type: BACKGROUND

PMID: 24158868 (View on PubMed)

Other Identifiers

Diagnostic laparoscopy

Identifier Type: -

Identifier Source: org_study_id