Abdomen CT and Open Appendicectomy：New Diagnostic and Surgical Procedures (ACAOA)

Ningbo Municipal No.4 Hospital

Status: Completed

Conditions: Complication; Scar; Wound Infection

Treatments: Other: traditional incision; Radiation: The application of abdomen CT

Study type: Interventional

Funder types: Other

Identifiers

NCT02574364

wxinhai

Details and patient eligibility

About

The traditional open appendectomy in the clinical effect is not prefect, and for a long time there is no measurable improvement. The application of abdomen CT before surgery provides a new approach to the incision and new perception.

In a randomized controlled trial of modified incision versus traditional incision. Length of hospital day was the primary terminus, while operating time, postoperative complication, scar and time to resume normal activity and work as secondary terminus.

Full description

Traditional open appendicectomy have many drawbacks, such as false-positive, cut infection, scar, extended cut, slower rehabilitation and return to work. In the past few years, in order to improve diagnostic accuracy, the abdomen CT is been general applied before appendicectomy, in addition to, a modified incision (MI) was designed based on it. Using a MI compare traditional incision (TI) to the patient including cut extended, operating time, cut infection, false-positive rate, rehabilitation and return to work. It seems that MI would prove superior to TI in terms of hospital day (primary terminus), with operating time, postoperative complication, scar and time to resume normal activity and work as secondary terminus.

Enrollment: 730 patients

Sex: All

Ages: 15+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• patients with a clinical diagnosis of acute appendicitis

Exclusion criteria

• children under 14 are not included

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Double Blind

---

730 participants in 2 patient groups

traditional incision

Active Comparator group

Description:

traditional incision : McBurney incision,Rectus incision,Appendix Transverse incision or Tenderness point incision,it was invaginated at the discretion of the surgeon.

Treatment:

Other: traditional incision

modified incision

Experimental group

Description:

modified incision :The application of abdomen CT before surgery provides a new approach to the incision and new perception.

Treatment:

Radiation: The application of abdomen CT