Laparoscopic Versus Open Appendectomy

NCT ID: NCT04618666

Last Updated: 2021-02-23

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 50 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2021-12-31
• Study Completion Date: 2024-03-31

Brief Summary

comparison between laparoscopic and open appendectomy in the management of chronic appendicitis

Detailed Description

The appendix is a blind-ended tube connected to the cecum, from which it develops in the embryo. The most common diseases of the appendix (in humans) are appendicitis and carcinoid tumors. Appendicitis is inflammation of the appendix. Symptoms commonly include right lower abdominal pain, nausea, vomiting, and decreased appetite. However, approximately 40% of people do not have these typical symptoms . Appendicitis is caused by a blockage of the hollow portion of the appendix. This is most commonly due to a calcified "stone" made of feces. Inflamed lymphoid tissue from a viral infection, parasites, gallstone, or tumors may also cause the blockage. This blockage leads to increased pressures in the appendix, decreased blood flow to the tissues of the appendix, and bacterial growth inside the appendix causing inflammation. The combination of inflammation, reduced blood flow to the appendix and distention of the appendix causes tissue injury and tissue death. If this process is left untreated, the appendix may burst, releasing bacteria into the abdominal cavity, leading to increased complications. The surgical procedure for the removal of the appendix is called an appendicectomy. Appendicectomy can be performed through open or laparoscopic surgery. The surgical procedure for the removal of the appendix is called an appendicectomy . Appendicectomy can be performed through open or laparoscopic surgery. When the surgeon uses the open approach, he makes an incision in the lower right section of the abdomen. Most incisions are less than 3 in (7.6 cm) in length. The surgeon then identifies all of the organs in the abdomen and examines them for other disease or abnormalities. The appendix is located and brought up into the wounds. The surgeon separates the appendix from all the surrounding tissue and its attachment to the cecum, and then removes it. The site where the appendix was previously attached, the cecum, is closed and returned to the abdomen The muscle layers and then the skin are sewn together . When the surgeon performs a laparoscopic appendectomy, four incisions, each about 1 in (2.5 cm) in length, are made. One incision is near the umbilicus, or navel, and one is between the umbilicus and the pubis. Two other incisions are smaller and are on the right side of the lower abdomen. The surgeon then passes a camera and special instruments through these incisions. With the aid of this equipment, the surgeon visually examines the abdominal organs and identifies the appendix. The appendix is then freed from all of its attachments and removed. The place where the appendix was formerly attached, the cecum, is stitched. The appendix is removed through one of the incisions. The instruments are removed and then all of the incisions are closed . The primary objective of this study was to compare the laparoscopic approach and the conventional technique in the treatment of chronic Appendicitis.

Conditions

Chronic Inflammation of Appendix

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: TREATMENT
• Blinding Strategy: NONE

Study Groups

laparoscopic and open appendectomy

comparative study between laparoscopic and open appendectomy

Group Type: EXPERIMENTAL

laparoscopic and open surgery intervention

Intervention Type: PROCEDURE

laparoscopic and open surgery to remove an inflammed appendix in chronic appendicitis

Interventions

laparoscopic and open surgery intervention

laparoscopic and open surgery to remove an inflammed appendix in chronic appendicitis

Intervention Type: PROCEDURE

Eligibility Criteria

Inclusion Criteria

clinical diagnosis of chronic appendicitis - - -Male or Female patients with chronic appendicitis

• Patients who are fit for laparoscopy and general anaeshesia
• Patients who provide a written informed concent
• Patient who agree to provide short term outcome data and agree to provide

Exclusion Criteria

• Patients suffering from an ongoing infections including chest infections .
• Patients who didn't give concent .
• Children and pregnant women
• Cases of complicated appendicitis .

• Minimum Eligible Age: 17 Years
• Maximum Eligible Age: 45 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

Assiut University

OTHER

Sponsor Role: lead

Responsible Party

mena helmy

Assistant Lecturer

Responsibility Role: PRINCIPAL_INVESTIGATOR

Other Identifiers

Lap appendectomy

Identifier Type: -

Identifier Source: org_study_id