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Clinical Trial Details — Status: Completed

Administrative data

NCT number NCT04614519
Other study ID # 20-AOI-02
Secondary ID
Status Completed
Phase N/A
First received
Last updated
Start date January 12, 2021
Est. completion date July 22, 2022

Study information

Verified date November 2023
Source Centre Hospitalier Universitaire de Nice
Contact n/a
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

Introduction: Surgery performed under low insufflation pressure combined with micro-laparoscopy (incisions 4X smaller than incisions in conventional laparoscopy) is called "low impact laparoscopy" or LIL. It significantly reduces postoperative pain and reduces the average length of stay. This technique, currently underdeveloped has never been evaluated in the literature for appendectomy. Main objective of the study: to obtain a reduction in postoperative pain when using the low-impact laparoscopy technique for appendectomies. Secondary objectives: to study the feasibility of LIL in appendectomies, to obtain a reduction in the average length of stay, a reduction in the consumption of analgesics, a reduction in costs, and a more rapid resumption of activities. Material and methods : This is a prospective, single-center, double-blind study. The inclusion criterion is the presence of acute uncomplicated appendicitis. The number of subjects to be included in each group is evaluated at 25. The subjects are divided into two groups preoperatively: - Conventional group: insufflation pressure at 12mmHg and conventional instrumentation - LIL group: insufflation pressure at 7mmHg and micro-laparoscopy instrumentation. Identical dressings are put in place at the end of the procedure in order to hide from the patient the protocol in which he was included. Pain assessment is recorded daily during the first postoperative week. The consumption of analgesics is also recorded. Then on the 7th day, 15th day and 30th postoperative day. During hospitalization, readings are taken by the nurse. At home, the data is entered by the patient via the Link4Life smartphone application. Conclusion: LIL applied to appendectomy has never been evaluated in the literature. It would allow a reduction in postoperative pain, the average length of stay for patients as well as improved rehabilitation.


Recruitment information / eligibility

Status Completed
Enrollment 50
Est. completion date July 22, 2022
Est. primary completion date July 22, 2022
Accepts healthy volunteers No
Gender All
Age group 18 Years to 99 Years
Eligibility Inclusion Criteria: - Patients with acute appendicitis uncomplicated by computed tomography with injection of contrast product Exclusion Criteria: - coagulopathy or thrombopathy - arguments for a complicated appendicitis: fever> 38.5 ° C, hyperleucytosis> 15,000, CRP> 100, presence of an intraperitoneal abscess, a plastron, a fluid effusion of medium or great abundance or '' a pneumoperitoneum on the CT scan - History of abdominal surgery by laparotomy - Obese patients (BMI> 30kg / m2) - minor patients - patients without health insurance - pregnant patient - patient incarcerated or in detention - patient under guardianship or curatorship - rapid sequence induction with the use of ketamine

Study Design


Related Conditions & MeSH terms


Intervention

Procedure:
Conventional group
Insufflation pressure at 12mmHg and conventional instrumentation
Low impact laparoscopy group
Insufflation pressure at 7mmHg and micro-laparoscopy instrumentation

Locations

Country Name City State
France CHU de Nice Nice

Sponsors (1)

Lead Sponsor Collaborator
Centre Hospitalier Universitaire de Nice

Country where clinical trial is conducted

France, 

Outcome

Type Measure Description Time frame Safety issue
Primary Post-operative pain decrease with low-impact laparoscopy Decrease of 2 points on a numerical pain scale of 0 to 10 in the LIL group compared to the conventional group. 30 days
Secondary Feasibility of Low Impact Laparoscopy in appendectomies Possibility of performing at least 80% of LIL procedures without conversion to conventional laparoscopy 30 days
Secondary Reduction in the average length of stay Obtain a 10% reduction in the average length of stay between the 2 groups 30 days
Secondary Decrease of opioids consumption Obtain a 10% reduction in the consumption of level 2 and 3 perioperative analgesics 30 days
Secondary Cost reduction in the LIL group Equivalent operating time in the 2 groups 30 days
Secondary Faster resumption of activities Lower costs in the LIL group compared to the conventional group 30 days
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