Clinical trial NCT06193798: Diagnostic Laparoscopy for Unexplained Abdominal Pain
Official title: Diagnostic Laparoscopy For Unexplained Abdominal Pain Risks &Benefits
Study type: OBSERVATIONAL
Overall status: NOT_YET_RECRUITING
Conditions: Abdominal Pain
Lead sponsor: Assiut University
Sponsor class: OTHER
First posted: 2024-01-05
Enrollment: 20
Sex: ALL
Minimum age (years): 18
Maximum age (years): 70
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Observational model: OTHER
Time perspective: PROSPECTIVE
Sampling method: NON_PROBABILITY_SAMPLE
Study population: To evalute the efficiency and safety of diagnostic laparoscopy for unexplained abdominal pain cases in general surgery depatment Assuit university hospital

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.

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

Primary outcomes:
measure: Diagnostic laparoscopy for unexplained abdominal pain
timeFrame: Diagnostic laparoscopy
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: Assiut University
name: Mostafa Hamed
role: STUDY_DIRECTOR
References:
citation: 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.