## Protocol Section
### Identification Module
**NCT ID:** NCT05584579

**Brief Title:** the Role of Laparoscopy in Lower Gastrointestinal Surgical Emergencies in Adults.

**Official Title:** the Role of Laparoscopy in Lower Gastrointestinal Surgical Emergencies in Adults.

#### Organization Study ID Info
**ID:** zagazig 13
#### Organization
**Class:** OTHER_GOV
**Full Name:** Zagazig University
### Status Module
#### Completion Date
**Date:** 2022-04-01

**Type:** ACTUAL

#### Expanded Access Info
#### Last Update Post Date
**Date:** 2022-10-18

**Type:** ACTUAL

**Last Update Submit Date:** 2022-10-17

**Overall Status:** COMPLETED

#### Primary Completion Date
**Date:** 2020-04-01

**Type:** ACTUAL

#### Start Date
**Date:** 2017-04-01

**Type:** ACTUAL

**Status Verified Date:** 2022-10

#### Study First Post Date
**Date:** 2022-10-18
**Type:** ACTUAL
**Study First Submit Date:** 2022-10-08
**Study First Submit QC Date:** 2022-10-17
### Sponsor Collaborators Module

#### Lead Sponsor

**Class:** OTHER_GOV

**Name:** Zagazig University

#### Responsible Party

**Investigator Affiliation:** Zagazig University

**Investigator Full Name:** Tamer.A.A.M.Habeeb

**Investigator Title:** assistant professour of general and laparoscopic surgery

**Type:** PRINCIPAL_INVESTIGATOR

### Oversight Module

**Is FDA Regulated Device:** False

**Is FDA Regulated Drug:** False

**Oversight Has DMC:** True

### Description Module

**Brief Summary:** Introduction: causes of lower abdominal pain caused by various GIT emergencies, including acute appendicitis, intestinal obstruction, acute perforated diverticulitis, obstructed hernia, and iatrogenic colon perforation. The role of Laparoscopy may be of diagnostic and therapeutic value.

Methods: Between April 2017 and April 2020, 793 patients were admitted to Zagazig University Hospital's emergency surgery unit with lower GIT emergencies, including acute appendicitis, acute intestine obstruction, complicated colonic diverticulum, complicated hernias, and iatrogenic colonic perforations.

**Detailed Description:** An acute lower abdomen is typically caused by peritoneal irritation caused by an abdominal organ's inflammation, rupture, or a hollow organ obstruction. Patients with severe acute lower abdominal pain either proceed to the operative room or additional investigations or diagnostic Laparoscopy (DL). Laparoscopy should not be used routinely for every acute lower abdomen case due to anesthetic risks and morbidity .

Most hospitals do emergency abdominal surgeries, and laparotomy in these procedures is associated with high death rates (14 to 20%) . Laparoscopic surgery has become a standard method for abdominal emergencies as a diagnostic and therapeutic tool. It has even been employed in some situations of lower abdominal crises in recent years .

The general surgeon frequently faces diagnostic challenges in emergency abdominal conditions. The diagnosis is crucial for planning the appropriate abdominal incision and avoiding unnecessary surgery. Noninvasive diagnostic approaches such as radiological examinations are not always conclusive. Furthermore, they are costly and cannot be performed 24 hours a day in all hospital circumstances . A retrospective observational study was designed to analyze the outcomes of a laparoscopic technique in emergent lower GIT surgeries regarding intraoperative and postoperative outcomes.

### Conditions Module

**Conditions:**

- Emergencies

**Keywords:**

- Emergency surgery

- laparoscopy

- lower abdominal surgery

### Design Module

#### Design Info

**Observational Model:** COHORT

**Time Perspective:** RETROSPECTIVE

#### Enrollment Info

**Count:** 793

**Type:** ACTUAL

**Study Type:** OBSERVATIONAL

### Arms Interventions Module

### Interventions

#### Intervention 1

**Description:** laparoscopic surgery

**Name:** laparoscopic surgery

**Type:** PROCEDURE

### Outcomes Module

#### Primary Outcomes

**Measure:** intraoperative complications

**Time Frame:** up to 2 years

#### Secondary Outcomes

**Measure:** postoperative complications

**Time Frame:** within 2 years of surgery

### Eligibility Module

**Eligibility Criteria:** Inclusion Criteria:

* \>18 years old, both sexes, and have undergone laparoscopic surgery for acute lower GIT emergencies such as acute appendicitis, acute intestine obstruction, complicated colonic diverticulum, complicated hernias, and iatrogenic colonic perforations

Exclusion Criteria:

* less than 18 years of age and open surgery

**Minimum Age:** 18 Years

**Sampling Method:** NON_PROBABILITY_SAMPLE

**Sex:** ALL

**Standard Ages:**

- ADULT

- OLDER_ADULT

**Study Population:** Between April 2017 and April 2020, 793 patients were admitted to Zagazig University Hospital's emergency surgery unit with lower GIT emergencies, including acute appendicitis, acute intestine obstruction, complicated colonic diverticulum, complicated hernias, and iatrogenic colonic perforations. To be eligible for the study, patients must meet all of the following criteria: be \>18 years old, both sexes, and have undergone laparoscopic surgery for acute lower GIT emergencies such as acute appendicitis, acute intestine obstruction, complicated colonic diverticulum, complicated hernias, and iatrogenic colonic perforations. The exclusion criteria were less than 18 years of age and open surgery. STROBE criteria were followed when reporting the work and registered in clinical trial.

### Contacts Locations Module

#### Locations

**Location 1:**

**City:** Zagazig

**Country:** Egypt

**Facility:** Tamer Alnaimy

**State:** Sharkia

**Zip:** 1234

### IPD Sharing Statement Module

**IPD Sharing:** NO

## Derived Section

### Condition Browse Module - Ancestors

- ID: D000020969

- Term: Disease Attributes

- ID: D000010335

- Term: Pathologic Processes

### Condition Browse Module - Browse Branches

- Abbrev: BC23

- Name: Symptoms and General Pathology

- Abbrev: All

- Name: All Conditions

### Condition Browse Module - Browse Leaves

- ID: M7796

- Name: Emergencies

- Relevance: HIGH

- As Found: Emergency

- ID: M22700

- Name: Disease Attributes

- Relevance: LOW

- As Found: Unknown

### Condition Browse Module - Meshes

- ID: D000004630

- Term: Emergencies

### Misc Info Module

- Version Holder: 2024-05-24
