Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

UNKNOWN

Clinical Phase

NA

Total Enrollment

30 participants

Study Classification

INTERVENTIONAL

Study Start Date

2017-09-15

Study Completion Date

2019-03-15

Brief Summary

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A laparoscopic appendectomy (LA) was first reported by Semm in 1983. Since then, its advantages, such as the aesthetic appearance of the wound, less postoperative pain, and faster recovery which facilitates early discharge, have been highlighted, and the number of procedures performed has been continuously increasing.

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Detailed Description

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The LA was performed mostly on uncomplicated appendicitis due to negative opinions about its safety when it was first introduced. However, the application of the procedure has been extended to complicated appendicitis (CA), and it is now considered as an alternative procedure to an open appendectomy (OA) as its safety record has improved . Nevertheless, it is still controversial because there are still concerns about surgical difficulties in managing CA with laparoscopy, overall surgery time, possible post-op complications and conversion to an OA during the surgery.

this study aimed to evaluate the safety and the efficacy of LA for managing perforated appendicitis.

Conditions

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Perforated Appendicitis

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Evaluation the role of Laparoscopic management of perforated a

Group Type EXPERIMENTAL

Laparoscopic management of perforated appendicitis

Intervention Type OTHER

1. Insertion of Ports
2. Exposure of the Appendix
3. peritoneal toilet and aspiration of pus after abdominal exposure
4. Isolation of Mesoappendicular Artery
5. Clipping and Dividing of the Artery
6. Application of 3 x Endoloops
7. Division of the Appendix
8. Retrieval of the Appendix in an Endobag

Interventions

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Laparoscopic management of perforated appendicitis

1. Insertion of Ports
2. Exposure of the Appendix
3. peritoneal toilet and aspiration of pus after abdominal exposure
4. Isolation of Mesoappendicular Artery
5. Clipping and Dividing of the Artery
6. Application of 3 x Endoloops
7. Division of the Appendix
8. Retrieval of the Appendix in an Endobag

Intervention Type OTHER

Eligibility Criteria

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Inclusion Criteria

* Clinical diagnosis of acute perforated appendicitis
* fit for laparoscopy and general anesthesia.
* written informed consent.
* short term outcome data and agree to provide contact information.

Exclusion Criteria

* high risk for general anesthesia.
* Appendicular abscess and appendicular mass .
* ongoing infections including chest infections .
* Children and pregnant females .

Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

Yes