Comparison of Open and Laparoscopic Appendectomy in Pediatric Population (Appendicitis)

King Edward Medical University

Status: Completed

Conditions: Appendicitis Acute

Treatments: Procedure: Laparoscopic appendicectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06363318

0003

Details and patient eligibility

About

Introduction: In the era of minimally invasive surgery, changing trends are towards laparoscopic surgery, first introduced in 1983. Now the preferred operation for children with appendicitis, laparoscopic appendectomy is associated with a reduced risk of wound infection, less postoperative pain and shorter hospital stay as compared to open appendectomy.

Objectives: To compare the outcome of open and laparoscopic appendectomy in children presenting with appendicitis in terms of operative time, postoperative pain, wound infection and hospital stay.

Full description

A total of 100 children presenting with acute appendicitis were included in this study, In group A, patients were undergone laparoscopic appendectomy.

In group B, patients were undergone open appendectomy. During surgery, operative time was noted. After surgery, patients were shifted to surgical wards and were followed-up there till discharge. Patients were followed regularly by the researcher for mean post-operative pain at 24 hours. At discharge, hospital stay was noted. Then patients followed up in outpatient department for 10 days for any evidence of wound infection.

Enrollment: 100 patients

Sex: All

Ages: 7 to 12 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

1. Children of age 7-12 years of either gender diagnosed as acute appendicitis
2. pediatric appendicitis score >4

Exclusion criteria

1. Children with comorbidities,
2. Perforated appendix
3. Appendicular mass (on clinical examination). -

Trial design

Primary purpose: Treatment

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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100 participants in 2 patient groups

Group A laparoscopic appendicectomy

Experimental group

Description:

In Group A (50 patients) laparoscopic appendicectomy was done

Treatment:

Procedure: Laparoscopic appendicectomy

Group B open appendicectomy

Active Comparator group

Description:

In Group B(50 patients) open appendicectomy was done

Treatment:

Procedure: Laparoscopic appendicectomy