Appendicitis
Conditions
Brief summary
The investigators aim to compare between laparoscopic clipping and extracorporeal ligation in complicated appendicitis regarding safety, efficacy, operative time, postoperative outcome, hospital stay and complications.
Detailed description
Appendectomy has become one of the most commonly performed emergency abdominal operations since it's description by McBurney in the 1890s. Since laparoscopic appendectomy was first described in 1983, there is an increase in the general trend towards performing this surgery using laparoscopy instead of open technique as this approach shows better pain score, lesser use of analgesics, less operative complications, better post operative recovery, less hospital stay and rapid return to normal work. There are many methods for securing the base of the appendix, some of which are expensive others are not available or technically demanding. In this study the investigators aim to compare between extracorporeal ligation and clipping techniques regarding feasibility, safety, efficacy, operative time, postoperative outcome and complications especially in complicated appendicitis. AS management of complicated appendicitis laparoscopically is possible, secure and can lead to a little occurrence of infectious complications, fewer post-operative pain, quick revival and improve cosmesis so the investigators will do a prospective clinical trial comparative study between two common techniques to determine the best one in management of complicated cases.
Interventions
PROCEDURELaparoscopic appendectomy using clipping.
Laparoscopic appendectomy using clipping to secure the base of the appendix.
PROCEDURELaparoscopic appendectomy using extracorporeal ligation to secure the base of the appendix.
Laparoscopic appendectomy using extracorporeal ligation to secure the base of the appendix.
Sponsors
Assiut University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
Participants will be divided randomly into two groups, in the first group the investigators will use clipping in securing the base of the appendix but in other groups investigators will use extracorporeal ligation.
Eligibility
Sex/Gender
ALL
Age
7 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
* Acute complicated appendicitis. * Perforated appendicitis (diagnosed intraoperatively) * Patients who will undergo laparoscopic appendectomy.
Exclusion criteria
* Patients with straight forward appendectomy. * Patients who are not fit for laparoscopic appendectomy.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | After procedure completion, an average of 1 hour. | Time of the total procedure. |
| Postoperative complications | Through study completion, an average of 1 year. | All patients will be observed postoperatively for occurrence of complications as leakage, pelvic abscess, wound infection |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hospital stay | Through the patient's hospital stay, an average of 1 week. | Duration of hospital stay |
Contacts
Primary ContactMohamed Ahmed Hamed Mohamed Elfoly, Resident Doctor
Outcome results
None listed