Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Assiut University

Status: Unknown

Conditions: Perforated Appendicitis

Treatments: Other: Laparoscopic management of perforated appendicitis

Study type: Interventional

Funder types: Other

Identifiers

NCT03267082

ERLMPA

Details and patient eligibility

About

A laparoscopic appendectomy (LA) was first reported by Semm in 1983. Since then, its advantages, such as the aesthetic appearance of the wound, less postoperative pain, and faster recovery which facilitates early discharge, have been highlighted, and the number of procedures performed has been continuously increasing.

Full description

The LA was performed mostly on uncomplicated appendicitis due to negative opinions about its safety when it was first introduced. However, the application of the procedure has been extended to complicated appendicitis (CA), and it is now considered as an alternative procedure to an open appendectomy (OA) as its safety record has improved . Nevertheless, it is still controversial because there are still concerns about surgical difficulties in managing CA with laparoscopy, overall surgery time, possible post-op complications and conversion to an OA during the surgery.

this study aimed to evaluate the safety and the efficacy of LA for managing perforated appendicitis.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 60 years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Clinical diagnosis of acute perforated appendicitis
• fit for laparoscopy and general anesthesia.
• written informed consent.
• short term outcome data and agree to provide contact information.

Exclusion criteria

• high risk for general anesthesia.
• Appendicular abscess and appendicular mass .
• ongoing infections including chest infections .
• Children and pregnant females .

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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30 participants in 1 patient group

Evaluation the role of Laparoscopic management of perforated a

Experimental group

Treatment:

Other: Laparoscopic management of perforated appendicitis