Acute Appendicitis, Laparoscopy, Peritonitis; Acute, Postoperative Pain
Conditions
Keywords
Valveless Trocar, Low-pressure Insufflation, Standard insufflation, Laparoscopic Appendectomy, Appendicular Peritonitis, Retrospective Study
Brief summary
The AirSeal System Valve-less Trocar is known to decrease postoperative pain, consumption of analgesics, operating time, and length of stay in adults during robotic and laparoscopic procedures. The investigators would like to know if these allegations also apply to children.
Detailed description
From January the 1st 2022 to December the 31st 2022, 100 children aged under 18 years old had an appendicular peritonitis treated by laparoscopic appendectomy. The pediatric surgeons either used the AirSeal System Valve-less Trocar or the standard insufflation. On one hand, only the surgeon, the anesthetist and the nurses of the operating room knew which type of insufflation was used. On the other hand, the patient, his parents and the nurses in the pediatric department did not know which type of insufflation was used. The participants were divided in two groups: the Airseal group (A) and the standard group (S). In each group, the investigators studied and compared the postoperative pain, the consumption of analgesics, the operating time, and the length of stay for each participant.
Interventions
DEVICELaparoscopic appendectomy Laparoscopic appendectomy with Airseal or with standard insufflation
Airseal is a constant and low-pressure insufflation device. Standard insufflation is a variable pressure insufflation device.
Sponsors
Destinval Christelle
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
4 Years to 17 Years
Healthy volunteers
No
Inclusion criteria
* Children aged between 4 and 17 years old * Who underwent laparoscopic appendectomy for appendicular peritonitis * Between 2022/06/1st and 2022/12/31st
Exclusion criteria
* Children younger than 4 years old or older than 18 years old * Who did not have appendicular peritonitis * Between 2022/01/1st and 2022/12/31st
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Consumption of analgesics | From the end of surgery to the discharge home, up to 20 days | Number of medications taken during hospitalization |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Length of stay | From the admission to the discharge home, up to 20 days | Length of stay |
| Operating Time | From beginning to end of surgery | Time to operate the patients |
| Mean Digital Pain Scale | Immediately after surgery until discharge home, up to 20 days | Digital Pain Scale: minimum is 0 out of 10 (which means no pain) and maximum is 10 out of 10 (which means very painful). Higher scores mean worse outcomes. |
Countries
France
Outcome results
None listed