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Study of Management of Appendicular Abscess

NCT ID: NCT06718595

Last Updated: 2024-12-05

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

NOT_YET_RECRUITING

Total Enrollment

100 participants

Study Classification

OBSERVATIONAL

Study Start Date

2024-12-02

Study Completion Date

2026-12-01

Brief Summary

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This study aims to detect indications of surgical drainage after failure Ultrasound guided percutaneous drainage This study will include any male and female above 18 years old that presented with appendicular abscess Patients with appendicular abscess above the age of 18 years old All patients with generalized peritonitis or immunocompromised patients will be excluded from the study

Detailed Description

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Prospective randomized study we will collect 30 patients diagnosed with appendicular abscess and they all will undergo Ultrasound guided percutaneous drainage of abscess and the group who will fail to insert the pigtail will undergo surgical drainage we will record the time of operation, number of cases with intraoperative complications and then follow up these patients during time of hospital stay for post operative pain and paralytic ileus

Study outcomes:

Primary outcomes:

1. Incidence of intra operative complications
2. Length of operations
3. Post operative pain
4. Incidence of intraoperative complications as injury of important structures
5. Lenght of hospital stay
6. Incidence of post operative complications related to surgery as wound infection, recurrence, intestinal obstruction

Secondary outcomes:

1. Cosmotic outcomes
2. Incidence of recurrence of pathology
3. Patient satisfaction

Conditions

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Appendiceal Abscess

Study Design

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Observational Model Type

COHORT

Study Time Perspective

PROSPECTIVE

Eligibility Criteria

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Inclusion Criteria

* Patients with appendicular abscess above the age of 18 years old

Exclusion Criteria

* Generalized peritonitis and patients with signs of spreading infection, toxemia and septicemia Multi-locular appendicular abscess Immunocompromised patients, hepatic dysfunction, renal impairment, uncontrolled patients and cardiac disease
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Assiut University

OTHER

Sponsor Role lead

Responsible Party

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David Mamdouh Thabet

doctor

Responsibility Role PRINCIPAL_INVESTIGATOR

Central Contacts

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David Mamdouh Thabet, Doctor

Role: CONTACT

Phone: 01288910475

Email: [email protected]

References

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Brown C, Kang L, Kim ST. Percutaneous drainage of abdominal and pelvic abscesses in children. Semin Intervent Radiol. 2012 Dec;29(4):286-94. doi: 10.1055/s-0032-1330062.

Reference Type BACKGROUND
PMID: 24293801 (View on PubMed)

Darwazeh G, Cunningham SC, Kowdley GC. A Systematic Review of Perforated Appendicitis and Phlegmon: Interval Appendectomy or Wait-and-See? Am Surg. 2016 Jan;82(1):11-5.

Reference Type BACKGROUND
PMID: 26802841 (View on PubMed)

Tannoury J, Abboud B. Treatment options of inflammatory appendiceal masses in adults. World J Gastroenterol. 2013 Jul 7;19(25):3942-50. doi: 10.3748/wjg.v19.i25.3942.

Reference Type BACKGROUND
PMID: 23840138 (View on PubMed)

Deelder JD, Richir MC, Schoorl T, Schreurs WH. How to treat an appendiceal inflammatory mass: operatively or nonoperatively? J Gastrointest Surg. 2014 Apr;18(4):641-5. doi: 10.1007/s11605-014-2460-1. Epub 2014 Feb 4.

Reference Type BACKGROUND
PMID: 24493295 (View on PubMed)

Bal A, Ozkececi ZT, Turkoglu O, Ozsoy M, Celep RB, Yilmaz S, Arikan Y. Demographic characteristics and seasonal variations of acute appendicitis. Ann Ital Chir. 2015;86:539-44.

Reference Type BACKGROUND
PMID: 26899348 (View on PubMed)

Other Identifiers

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Appendicular abscess drainage

Identifier Type: -

Identifier Source: org_study_id