Use of Bipolar Diathermy VS Clips in Laparoscopic Appendectomy

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

Clinical Phase

NA

Total Enrollment

100 participants

Study Classification

INTERVENTIONAL

Study Start Date

2025-03-01

Study Completion Date

2028-04-01

Brief Summary

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Acute Appendicitis is the most frequent acute pathological abdominal illness needing immediate surgery. The laparoscopic appendectomy (LA) has become more popular and is advised as the first course of treatment, particularly for female, obese, and elderly patients.LA can also give surgeons a greater field view and identification of other abdominal organs that can have different pathologies that could mimic the symptoms of acute appendicitis.The most crucial step in preventing major complications such postoperative bleeding, peritonitis, sepsis is sealing the mesoappendix. Due to this circumstance, surgeons are looking for alternative treatments for LA. The best technique for sealing mesoappendix should be affordable, practical, safe, and easy to apply technically. Extracorporeal sliding knots, intracorporeal ligations, endo-loops, nonabsorbable polymer clips (Hem-o-lock clips), hand-made loops, and Ligasure usage, and bipolar cautery division are some of the techniques utilized at LA to seal mesoappendix. According to studies, each of these techniques is secure and practicable.5 In this study, there is a comparative study between using Bipolar diathermy as a source of sealing and other mechanical closure techniques for mesoappendix To assess effect of energy source sealing of mesoappendix by using Bipolar diathermy in comparison to mechanical closure by clips as regard outcome and complications.

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Detailed Description

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Conditions

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Laparoscopic Appendectomy Bipolar Diathermy

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Group A

Laparoscopic appendectomy, using of bipolar diathermy to coagulate mesoappendix

Group Type EXPERIMENTAL

laparoscopic appendectomy

Intervention Type PROCEDURE

By using laparoscopy, after achieving conclusive identification of the mesoappendix

bipolar diathermy

Intervention Type PROCEDURE

the mesoappendix coagulated using bipolar diathermy, then cut with scissor.

Group B

laparoscopic appendectomy, using surgical clips in closure of mesoappendix

Group Type EXPERIMENTAL

laparoscopic appendectomy

Intervention Type PROCEDURE

By using laparoscopy, after achieving conclusive identification of the mesoappendix

clips closure

Intervention Type PROCEDURE

mesoappendix will be divided between 3 clips, two placed distally and one proximally. The mesoappendix will be cut in between the clips.

Interventions

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laparoscopic appendectomy

By using laparoscopy, after achieving conclusive identification of the mesoappendix

Intervention Type PROCEDURE

bipolar diathermy

the mesoappendix coagulated using bipolar diathermy, then cut with scissor.

Intervention Type PROCEDURE

clips closure

mesoappendix will be divided between 3 clips, two placed distally and one proximally. The mesoappendix will be cut in between the clips.

Intervention Type PROCEDURE

Eligibility Criteria

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Inclusion Criteria

* All patients admitted to AUH with uncomplicated acute appendicitis or chronic appendicitis
* Age group (18-70)

Exclusion Criteria

* patients with complex appendicitis (appendicular mass, abscess, etc).
* patients who had the following conditions: cirrhosis with ascites, abdominal distention, and coagulation disorders, cardiac patients; shock upon arrival, a large ventral hernia, and inflammatory bowel disease

Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No