Complication, Scar, Wound Infection
Conditions
Keywords
abdomen CT, open appendicectomy
Brief summary
The traditional open appendectomy in the clinical effect is not prefect, and for a long time there is no measurable improvement. The application of abdomen CT before surgery provides a new approach to the incision and new perception. In a randomized controlled trial of modified incision versus traditional incision. Length of hospital day was the primary terminus, while operating time, postoperative complication, scar and time to resume normal activity and work as secondary terminus.
Detailed description
Traditional open appendicectomy have many drawbacks, such as false-positive, cut infection, scar, extended cut, slower rehabilitation and return to work. In the past few years, in order to improve diagnostic accuracy, the abdomen CT is been general applied before appendicectomy, in addition to, a modified incision (MI) was designed based on it. Using a MI compare traditional incision (TI) to the patient including cut extended, operating time, cut infection, false-positive rate, rehabilitation and return to work. It seems that MI would prove superior to TI in terms of hospital day (primary terminus), with operating time, postoperative complication, scar and time to resume normal activity and work as secondary terminus.
Interventions
RADIATIONThe application of abdomen CT
A modified incision(MI)was designed based on abdomen CT.Using a MI compare traditional incision(TI) to the patient including cut extended, operating time,cut infection, false-positive rate,rehabilitation and return to work.
OTHERtraditional incision
McBurney incision,Rectus incision,Appendix Transverse incision or Tenderness point incision,it was invaginated at the discretion of the surgeon.
Sponsors
Ningbo Municipal No.4 Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
15 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* patients with a clinical diagnosis of acute appendicitis
Exclusion criteria
* children under 14 are not included
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| hospital day | 2 weeks |
Secondary
| Measure | Time frame |
|---|---|
| time to return to normal activity and work in days | up to 4 weeks |
| operating time in minutes | 180 Minutes |
| numbers of extended cut, numbers of infection,numbers of intraperitoneal abscess | 1 weeks |
Outcome results
None listed