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Use of keyhole surgery in pain abdomen

Role of Laparoscopy in Acute Abdomen - LAB

Status
Active, not recruiting
Phases
Unknown
Study type
Observational
Source
CTRI
Registry ID
CTRI/2018/06/014457
Enrollment
50
Registered
2018-06-07
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: null- SURGICAL ACUTE ABDOMEN

Interventions

Intervention1: Laparoscopy, Laparoscopy assisted, Laparoscopy converted to open.: Diagnostic laparoscopy done in each patient. Pre-operative diagnosis compared with laparoscopic diagnosis. Comparison

Sponsors

MAHARAJA AGRASEN HOSPITAL
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1. Acute abdominal pain of recent onset. 2. Patients whose age is 14 years and above. 3. Patients giving consent for surgical procedure.

Exclusion criteria

Exclusion criteria: 1. Uncontrolled coagulopathy. 2. Haemodynamically unstable patients. 3. Patients presenting with chronic abdominal pain. 4. Patients having undergone multiple previous abdominal procedures. 5. Patients refusing the minimal access technique (diagnostic laparoscopy) for diagnosis. 6. Other causes which exclude laparoscopy in acute abdomen. (e.g. multiple stab wounds) 7. Patients undergoing elective procedures.

Design outcomes

Primary

MeasureTime frame
50 patients with surgical acute abdomen were selected for this study. The pre- operative diagnosis was compared with laparoscopic diagnosis to evaluate accuracy of diagnostic laparoscopy. With the use of diagnostic laparoscopy a diagnosis could be reached in 49 (98%) cases. It confirmed the diagnosis in 35 (70%) patients.In 14 patients (28%) laparoscopy changed the diagnosis.Timepoint: The Laparoscopic/ post operative diagnosis was compared with pre- operative diagnosis after each procedure.

Secondary

MeasureTime frame
In our series 28 (56%) laparoscopic appendectomy were performed. Therapeutic laparoscopy was done in 37 (74%) cases. Lap assisted procedure were done in 4 (8%) cases. 8 (16%) cases required conversion to open procedure. Hence, the conversion rate was 16%. The main causes for conversion were due to extensive adhesions, distended bowel.Timepoint: For feasibility of laparoscopy for management of acute abdomen

Countries

India

Contacts

Public ContactMAYANK NARANI

MAHARAJA AGRASEN HOSPITAL

dralokagrawal@yahoo.com9810622722

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026