Laparoscopic Appendectomy
Conditions
Keywords
Appendicitis, Laparoscopy
Brief summary
Laparoscopic appendectomy is the standard procedure for acute appendicitis. Among the various steps of the procedure one of the rate limiting step is the ligation of the appendicular stump which can be done using suture material, metallic clips and hem o loks. This study compares the effect the using metallic clips versus suture material in the ligation of appendicular stump in terms of length of surgery and associated intra-operative complications. The patients included will be within the age group of 15-60 years, with BMI of 18-28kg/m2, and with acute appendicitis of upto grade 3. The data will be analyzed using SPSS a p value of \<0.05 will be considered as statistically significant.
Interventions
DEVICEMetallic clip ligation of the appendicular stump
The group A patients will be having the appendicular stump ligated using the metallic clip, and assessed in terms of length of surgery and associated intra operative complications.
DEVICESuture ligation of appendicular stump
The appendicular stump in the second arm will be ligated using appropriate suture material and assessed in terms of length of surgery and rate of intraoperative complications.
Sponsors
Jinnah Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
DEVICE_FEASIBILITY
Masking
SINGLE (Subject)
Eligibility
Sex/Gender
ALL
Age
15 Years to 60 Years
Healthy volunteers
No
Inclusion criteria
1. Both genders, within the age bracket of 15 years - 60 years. 2. With a BMI within the range of 18 - 28 kg/m2. 3. With a diagnosis made by a consultant surgeon and the grade of appendicitis upto 3.
Exclusion criteria
1. Patients with long standing comorbidities including chronic liver disease, diabetes mellitus, chronic kidney disease and hemorrhagic disorders. 2. Patients taking anticoagulants, carrier of active cases of Hepatitis B, C and/or HIV. 3. Patients on immunosuppression therapy. Diameter of appendicular stump of more than 10mm, perforated appendix, laparoscopic appendectomy converted to open appendectomy pelvic appendicitis and sub-hepatic appendicitis.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Length of surgery | Intraoperative | The length of surgery will be measured in terms of minutes from the start of the pneumoperitoneum insufflation till the evacuation of the pneumoperitoneum at the conclusion of the surgery. |
Countries
Pakistan
Contacts
Primary ContactMUHAMMAD SAUD IQBAL, MBBS
Outcome results
None listed