Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Perforated Appendicitis Clinical Trial

Official title:

Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Clinical Trial Details — Status: Not yet recruiting

Administrative data

• NCT number: NCT03267082
• Other study ID #: ERLMPA
• Status: Not yet recruiting
• Phase: N/A
• First received: August 20, 2017
• Last updated: August 27, 2017
• Start date: September 15, 2017
• Est. completion date: March 15, 2019

Study information

• Verified date: August 2017
• Source: Assiut University
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

A laparoscopic appendectomy (LA) was first reported by Semm in 1983. Since then, its advantages, such as the aesthetic appearance of the wound, less postoperative pain, and faster recovery which facilitates early discharge, have been highlighted, and the number of procedures performed has been continuously increasing.

Description:

The LA was performed mostly on uncomplicated appendicitis due to negative opinions about its safety when it was first introduced. However, the application of the procedure has been extended to complicated appendicitis (CA), and it is now considered as an alternative procedure to an open appendectomy (OA) as its safety record has improved . Nevertheless, it is still controversial because there are still concerns about surgical difficulties in managing CA with laparoscopy, overall surgery time, possible post-op complications and conversion to an OA during the surgery.

this study aimed to evaluate the safety and the efficacy of LA for managing perforated appendicitis.

Recruitment information / eligibility

• Status: Not yet recruiting
• Enrollment: 30
• Est. completion date: March 15, 2019
• Est. primary completion date: March 15, 2019
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 18 Years to 60 Years

Eligibility

Inclusion Criteria:

• Clinical diagnosis of acute perforated appendicitis

• fit for laparoscopy and general anesthesia.

• written informed consent.

• short term outcome data and agree to provide contact information.

Exclusion Criteria:

• high risk for general anesthesia.

• Appendicular abscess and appendicular mass .

• ongoing infections including chest infections .

• Children and pregnant females .

Related Conditions & MeSH terms

• Appendicitis
• Perforated Appendicitis

Intervention

Other:
• Laparoscopic management of perforated appendicitis
Insertion of Ports Exposure of the Appendix peritoneal toilet and aspiration of pus after abdominal exposure Isolation of Mesoappendicular Artery Clipping and Dividing of the Artery Application of 3 x Endoloops Division of the Appendix Retrieval of the Appendix in an Endobag

Locations

Country	Name	City	State
n/a

Sponsors (1)

Lead Sponsor	Collaborator
Assiut University

References & Publications (2)

Frazee RC, Bohannon WT. Laparoscopic appendectomy for complicated appendicitis. Arch Surg. 1996 May;131(5):509-11; discussion 511-3. — View Citation

Semm K. Endoscopic appendectomy. Endoscopy. 1983 Mar;15(2):59-64. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	early recovery	recovery within 2 days	2 day
Secondary	wound cosmetic appearance	no scare of incision post laporscopic mangement	6 months