Digestive System Surgery
Conditions
Interventions
Appendectomy
Antibiotics
Sponsors
EPH Kouba
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: - Patients aged 15-65 years - Acute uncomplicated appendicitis with a diameter between 6 - 14mm confirmed by an injected CT scan - AIR score = 5
Exclusion criteria
Exclusion criteria: - Age over 65 years - Complicated acute appendicitis (stercolith, peri-appendicular abcess or intraperitoneal fluid, perforation, pneumoperitoneum) - Appendicular diameter > 14mm (injected CT) - AIR score = 4 - History of inflammatory bowel disease - Treatment with corticosteroids - Pregnancy in progress - Allergy to iodine - Renal insufficiency (creatinine clearance <30 ml/min) - Refusal to participate
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Overall failure rate: defined as the number of patients operated on (Antibiotics group) or reoperated on (Appendectomy group) for postoperative complications (peritonitis, intestinal obstruction, incisional hernia) during one-year follow-up. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Recurrences rate: defined as the number of patients with a recurrence of acute appendicitis in the antibiotics group during one year of follow-up. - Pain intensity on day 1: defined as the mean of the VAS values calculated on day 1. - Quantity of analgesic received: mean in grams of analgesic received during hospitalization. - Morbidity rate: number of postoperative complications according to the Clavien-Dindo classification. - Readmission rate: number of re-hospitalizations for recurrence or complications. - Length of hospital stay: number of days in hospital. - Duration of physical disability: number of days the patient is unable to carry out daily activities. | — |
Countries
Algeria
Contacts
Public ContactHani Bendib
Departement of general Surgery
Outcome results
None listed