Peri-operative Analgesia for Single-incision Laparoscopic Appendectomy

NCT ID: NCT05773521

Last Updated: 2023-08-14

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

Total Enrollment

140 participants

Study Classification

OBSERVATIONAL

Study Start Date

2023-08-31

Study Completion Date

2023-12-31

Brief Summary

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Laparoscopic appendectomy is a very common intervention in pediatric surgery. To improve outcomes, some teams have developed the use of single-site laparoscopic appendectomy (SILAP). Nevertheless, there is no consensus yet and no published data on the better perioperative analgesia, and different modalities including general intravenous analgesia, locoregional pre-operative analgesia and local analgesia can be used.

Detailed Description

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The aim of this retrospective study is to describe the different types of perioperative analgesia routinely used and to compare them to determine the more efficient one for early postoperative pain relief.

Conditions

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Appendicitis

Study Design

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Observational Model Type

COHORT

Study Time Perspective

RETROSPECTIVE

Study Groups

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SILAP patients

This cohort is composed by all pediatric patients operated on for SILAP between January 1st, 2012 and August 31, 2022.

SILAP (single incision laparoscopic appendectomy)

Intervention Type PROCEDURE

Appendectomy performed through transumbilical single access laparoscopy, consisting in the removal of the appendix.

Interventions

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SILAP (single incision laparoscopic appendectomy)

Appendectomy performed through transumbilical single access laparoscopy, consisting in the removal of the appendix.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients operated on for appendectomy by SILAP, aged 15 years and under in our pediatric surgical center.

Exclusion Criteria

* Patients aged 16 years or more.
* Patients with concomitant pathologies potentially inducing hyper- or hypoesthesia (e.g. cancers, spinal cord injury, etc...)
* Patients with contraindications for the use of IV analgesics.
* patients operated on for appendectomy through 3-ports laparoscopy or open surgery.
* Opposition of the patients and their representative to the study.
Minimum Eligible Age

1 Day

Maximum Eligible Age

15 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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University Hospital, Angers

OTHER_GOV

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Françoise Schmitt, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University hospital of Angers

Locations

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Angers University Hospital

Angers, , France

Site Status

Countries

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France

Central Contacts

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Jeanne Goulin, MD

Role: CONTACT

+33 2 41 35 42 90

Françoise Schmitt, MD-PhD

Role: CONTACT

+33 2 41 35 42 90

Facility Contacts

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Jeanne GOULIN, MD

Role: primary

(+33)241354290

Françoise SCHMITT, MD, PhD

Role: backup

+33241354290

References

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Goodman LF, Lin AC, Sacks MA, McRae JJLH, Radulescu A, Khan FA. Single site versus conventional laparoscopic appendectomy: some pain for no gain? J Surg Res. 2021 Aug;264:321-326. doi: 10.1016/j.jss.2021.03.010. Epub 2021 Apr 10.

Reference Type BACKGROUND
PMID: 33848830 (View on PubMed)

Binet A, Braik K, Lengelle F, Laffon M, Lardy H, Amar S. Laparoscopic one port appendectomy: Evaluation in pediatric surgery. J Pediatr Surg. 2018 Nov;53(11):2322-2325. doi: 10.1016/j.jpedsurg.2017.12.018. Epub 2017 Dec 27.

Reference Type BACKGROUND
PMID: 29370892 (View on PubMed)

Other Identifiers

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2022-124

Identifier Type: -

Identifier Source: org_study_id

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