se of keyhole surgery in pain abdome
Not Applicable
Completed
- Conditions
- Health Condition 1: null- SURGICAL ACUTE ABDOME
- Registration Number
- CTRI/2018/06/014457
- Lead Sponsor
- MAHARAJA AGRASEN HOSPITA
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Completed
- Sex
- Not specified
- Target Recruitment
- 50
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
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.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method 50 patients with surgical acute abdomen were selected for this study. <br/ ><br>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 Outcome Measures
Name Time Method In our series 28 (56%) laparoscopic appendectomy were performed. <br/ ><br>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