Lap Adhesiolysis in Intestinal Obstruction

Recruiting

• Conditions: Adhesions Bowel
• Interventions: Procedure: Open adhesiolysis; Procedure: Laparoscopic adhesiolysis

• Registration Number: NCT06446440
• Lead Sponsor: Assiut University

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 .

Study Timeline

• Study Start: 2023-12-01
• Status Verified: 2024-06
• Study First Submitted: 2024-06-01
• Study First Submitted QC: 2024-06-01
• Last Update Submitted: 2024-06-01
• Study First Posted: 2024-06-06
• Last Update Posted: 2024-06-06
• Primary Completion: 2026-10
• Study Completion: 2026-12

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 40

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

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Arm && Interventions

Group	Intervention	Description
Group B	Open adhesiolysis	These group will include cases underwent open adhesiolysis
Group A	Laparoscopic adhesiolysis	These group will include cases underwent laparoscopic adhesiolysis

Primary Outcome Measures

Name	Time	Method
Recurrence rate	2 years	Signs and symptoms of intestinal obstruction

Trial Locations

Locations (1)

Assiut University Hospital; 🇪🇬 Assiut, Egypt