Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT03267082

Enrollment

Registered

2017-08-30

Start date

2017-09-15

Completion date

2019-03-15

Last updated

2017-08-30

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

Conditions

Perforated Appendicitis

Brief 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.

Detailed 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.

Interventions

OTHERLaparoscopic management of perforated appendicitis

1. Insertion of Ports 2. Exposure of the Appendix 3. peritoneal toilet and aspiration of pus after abdominal exposure 4. Isolation of Mesoappendicular Artery 5. Clipping and Dividing of the Artery 6. Application of 3 x Endoloops 7. Division of the Appendix 8. Retrieval of the Appendix in an Endobag

Study design

Allocation

Intervention model

SINGLE_GROUP

Primary purpose

TREATMENT

Masking

NONE

Eligibility

Sex/Gender

ALL

Age

18 Years to 60 Years

Healthy volunteers

Yes

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 .

Design outcomes

Primary

Measure	Time frame	Description
early recovery	2 day	recovery within 2 days

Secondary

Measure	Time frame	Description
wound cosmetic appearance	6 months	no scare of incision post laporscopic mangement

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026