Acute Appendicitis
Conditions
Keywords
open appendectomy, laparoscopic appendectomy, appendicitis
Brief summary
Comparison of open and laparoscopic appendectomy
Detailed description
Adult patients with presumptive diagnosis of acute appendicitis were were operated by laparoscopic appendectomy or open appendectomy group during a three-year period (between 2007 and 2009).
Interventions
PROCEDURElaparoscopic appendectomy
The laparoscopic appendectomy was performed with three trocars. Pneumoperitoneum was created using an open Hasson technique. The mesoappendix was divided using a harmonic scalpel or endoscopic tissue fusion device. The appendix was divided by placing one endoscopic loop and cut with harmonic scalpel. The specimen was removed through the umbilical port.
PROCEDUREopen appendectomy
The open appendectomy was carried out in the standard way with McBurney muscle splitting incision (in supine position).
Sponsors
Varazdin General Hospital
Study design
Observational model
COHORT
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
16 Years to 90 Years
Healthy volunteers
No
Inclusion criteria
* patients older than 16 years with presumptive diagnosis of acute appendicitis
Exclusion criteria
Appendectomy performed during diagnostic laparoscopy and incidental appendectomies patients with: * cirrhosis * ascites * coagulation disorder * diffuse peritonitis * shock on admission * large ventral hernia. Appendectomy performed during diagnostic laparoscopy and incidental appendectomies were also excluded
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cost of hospitalization based on the final hospital bills | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Analgesia demands | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) | The number of doses of analgesics, and time from surgery to the last dose of analgesics. |
| Complications | during first 4 weeks after the surgery | No. of wound infection and intrabdominal abscesses. |
| Length of hospital stay | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) | No. of days from surgery to discharge of hospital |
| Time until resumption of clear liquid and regular diet | from the beginning of the surgery to the resumption (an expected average 2 days after the surgery) | No. of days from surgery to the resumption of clear liquid and regular diet |
Countries
Croatia
Outcome results
None listed