Laparoscopic Value in the Management of Acute Abdomen During Pregnancy

Sohag University

Status: Not yet enrolling

Conditions: Acute Abdomen; Pregnancy Related

Treatments: Procedure: Laparoscopy vs Non-laparoscopy approach

Study type: Observational

Funder types: Other

Identifiers

NCT05407922

soh-med-42342

Details and patient eligibility

About

The term "acute abdomen" is often used to describe the manifestations of any serious intraperitoneal disease, which may indicates surgical intervention. Acute abdomen in pregnancy accounts for approximately 7-10% of all abdominal emergencies.

Several pathologies could contribute acute abdominal pain during pregnancy. They include obstetric and non-obstetric causes. As for the non-obstetric causes , any gastrointestinal or urological disorders could be presented by an acute abdominal pain.

In pregnancy, several factors overlap and making the diagnosis challenging. These factors include the distorted anatomy by the growing uterus that displaces intraperitoneal structures. Additionally, nausea, vomiting, and abdominal pain are considered the normal course during pregnancy especially at the first trimester. Moreover, sure diagnosis must be achieved to operate in a pregnant woman with more possible morbidity and mortality for the mother and\or fetus.

Full description

Laparoscopy can be safely performed during any trimester of pregnancy. Historical recommendations were to limit surgery to the second trimester only, but these recommendations were based on experience with open surgical procedures during pregnancy. These recommendations were thought to minimize the spontaneous abortion rate of surgical intervention during the first trimester, which was reported to be as high as 12%, and to avoid preterm labor, reported in up to 40%, when surgery occurred during the third trimester. However, studies limited to laparoscopy have shown improved outcomes and demonstrated that pregnant patients may undergo laparoscopic surgery safely during any trimester without any appreciated increase in risk to the mother or fetus.

Enrollment: 50 estimated patients

Sex: Female

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• All pregnant women having acute abdomen and underwent surgical intervention will be included in this study.

Exclusion criteria

• Non-pregnant women with acute abdomen are excluded.

Trial design

50 participants in 2 patient groups

Laparoscopy Group

Description:

The laparoscopy group included every pregnant woman having laparoscopic intervention because of acute abdominal pain during any trimester of her pregnancy.

Treatment:

Procedure: Laparoscopy vs Non-laparoscopy approach

Non-laparoscopy Group

Description:

Non-laparoscopy Group included every pregnant woman having treatment approach other than the laparoscopic approach because of acute abdominal pain.

Treatment:

Procedure: Laparoscopy vs Non-laparoscopy approach