Appendicitis Acute
Conditions
Keywords
Appendicitis, children, laparoscopic appendectomy, open appendectomy
Brief summary
Introduction: In the era of minimally invasive surgery, changing trends are towards laparoscopic surgery, first introduced in 1983. Now the preferred operation for children with appendicitis, laparoscopic appendectomy is associated with a reduced risk of wound infection, less postoperative pain and shorter hospital stay as compared to open appendectomy. Objectives: To compare the outcome of open and laparoscopic appendectomy in children presenting with appendicitis in terms of operative time, postoperative pain, wound infection and hospital stay.
Detailed description
A total of 100 children presenting with acute appendicitis were included in this study, In group A, patients were undergone laparoscopic appendectomy. In group B, patients were undergone open appendectomy. During surgery, operative time was noted. After surgery, patients were shifted to surgical wards and were followed-up there till discharge. Patients were followed regularly by the researcher for mean post-operative pain at 24 hours. At discharge, hospital stay was noted. Then patients followed up in outpatient department for 10 days for any evidence of wound infection.
Interventions
PROCEDURELaparoscopic appendicectomy
In group A laparoscopic appendicectomy was done while in group B Open appendicectomy was done
Sponsors
King Edward Medical University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
NONE
Intervention model description
children were randomly divided in two groups. In group A, laparoscopic appendectomy was done. In group B, open appendectomy was done
Eligibility
Sex/Gender
ALL
Age
7 Years to 12 Years
Healthy volunteers
No
Inclusion criteria
1. Children of age 7-12 years of either gender diagnosed as acute appendicitis 2. pediatric appendicitis score \>4
Exclusion criteria
1. Children with comorbidities, 2. Perforated appendix 3. Appendicular mass (on clinical examination). -
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Operative time | during surgery | from time of incision to skin closure |
| wound infection | 10 days | It was labelled if there was redness, swelling or pus present at surgical wound site |
| Hospital stay | 5 days | It was measured in terms of days required to stay in hospital after surgery. The start time will be the day of operation and end time was the day of discharge from hospital. |
| Postoperative pain | 48 hours | It was measured by using visual analogue scale (VAS), which consists of score minimum zero to maximum ten score |
Countries
Pakistan
Outcome results
None listed