Lap Adhesiolysis in Intestinal Obstruction

Assiut University

Status: Enrolling

Conditions: Adhesions Bowel

Treatments: Procedure: Open adhesiolysis; Procedure: Laparoscopic adhesiolysis

Study type: Observational

Funder types: Other

Identifiers

NCT06446440

Lap adhesiolysis

Details and patient eligibility

About

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.

Full 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 .

Enrollment: 40 estimated patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

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

Trial design

40 participants in 2 patient groups

Group A

Description:

These group will include cases underwent laparoscopic adhesiolysis

Treatment:

Procedure: Laparoscopic adhesiolysis

Group B

Description:

These group will include cases underwent open adhesiolysis

Treatment:

Procedure: Open adhesiolysis