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Wrapping of the appendix stump by the omentum reduces pain and speeds recovery after removal of the appendix

Omental wrapping of the cecum and appendix stump reduces postoperative pain and speeds recovery after laparoscopic appendectomy: a prospective randomized controlled trial

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
ISRCTN
Registry ID
ISRCTN89363255
Enrollment
106
Registered
2023-08-07
Start date
2020-06-01
Completion date
Unknown
Last updated
2024-03-04

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute appendicitis Digestive System

Interventions

Randomization was done using the computational random number generator method. The evaluators for patients and pain were blinded to the details of the appendectomy operation. The traditional and wrapp

Sponsors

National Jeddah Hospital
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Patients aged more than 18 years 2. Diagnosed with acute appendicitis by clinical examination, ultrasonography, or CT scan

Exclusion criteria

Exclusion criteria: 1. Patients with complicated appendicitis by perforation or abscess formation 2. Pregnant women 3. Surgical technique was changed (conversion to open laparotomy, or further surgery was done) 4. Intraoperative finding of short omentum 5. Drainage tube was placed 6. Patient could not distinguish between intra-abdominal pain and pain originating from abdominal wounds 7. Patient expressed desire to terminate the study

Design outcomes

Primary

MeasureTime frame
1. Degree of postoperative intraabdominal (visceral) pain intensity evaluated by visual analogue scale (VAS) at the first 24 hours, between 24 and 48 hours, and 48 to 72 hours following the operation 2. Analgesics administration in the form of parenteral nonsteroidal anti-inflammatory drugs (NSAIDs) measured using the mean number of analgesic doses following surgery at the first 24 hours, and after 24 hours following the operation

Secondary

MeasureTime frame
1. Operation time measured using time in medical records (minutes) at one timepoint 2. Time to pass gas measured using time in medical records (hours) at one timepoint 3. White blood cell count measured using standard laboratory testing (×103/µL count) and preoperative, and>24 and24 and48 and 24 and48 and <72 hours following surgery 6. Length of hospital stay measured using time in medical records (days) at one timepoint

Countries

Saudi Arabia

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026