Adhesions Bowel
Conditions
Brief summary
Comparison between the results of laparotomy and laparoscopy in adhesive intestinal obstruction and introduce the use of laparoscopy to the emergency setting in Asyut University Hospital.
Detailed description
Adhesive Intestinal obstruction is one of the most common complications after any abdominal surgery. Adhesions account for 75% of causes of intestinal obstruction. laparoscopic adhesiolysis recently increase in frequency over open adhesiolysis but there is no definit evidence of its superiority. In term of length of hospital stay and morbidity. adhesive bowel obstruction mainly managed by conservative treatment but some refractory cases needs surgical intervention In this study we will evaluate feasibility and efficacy of using laparoscop in adhesiolysis over open approach .
Interventions
PROCEDURELaparoscopic adhesiolysis
Laparoscopic adhesiolysis
PROCEDUREOpen adhesiolysis
Open adhesiolysis
Sponsors
Assiut University
Study design
Observational model
OTHER
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* any male or female above 18 years has adhesive Intestinal obstruction * patient fulfilled the criteria to participate but operated before time of study if adequate data available * patient in which conservative management is failed
Exclusion criteria
* othe casues of intestinal obstruction (other than adhsions) * shocked patient * cardiovascular diseases * coagulopathy * liver cirrhosis * intracranial diseases
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Recurrence rate | 2 years | Signs and symptoms of intestinal obstruction |
Countries
Egypt
Outcome results
None listed