Diagnostic Laparoscopy for Unexplained Abdominal Pain

Abdominal Pain Clinical Trial

Official title:

Diagnostic Laparoscopy For Unexplained Abdominal Pain Risks &Benefits

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT06193798
• Other study ID #: Diagnostic laparoscopy
• Status: Not yet recruiting
• Start date: March 20, 2024
• Est. completion date: November 11, 2026

Study information

• Verified date: December 2023
• Source: Assiut University
• Contact: Nouran Mohsen, Doctor
• Phone: 01025729935
• Email: nouranmohsen112[@]gmail.com
• Is FDA regulated: No
• Study type: Observational

Clinical Trial 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

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.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 20
• Est. completion date: November 11, 2026
• Est. primary completion date: August 1, 2026
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 70 Years

Eligibility

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

Related Conditions & MeSH terms

• Abdominal Pain

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (1)

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. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Diagnostic laparoscopy for unexplained abdominal pain	For diagnosis any obscure abdominal pain	Diagnostic laparoscopy