Peri-operative Analgesia for Single-incision Laparoscopic Appendectomy (PAMAL)

University Hospital, Angers

Status: Not yet enrolling

Conditions: Appendicitis

Treatments: Procedure: SILAP (single incision laparoscopic appendectomy)

Study type: Observational

Funder types: Other

Identifiers

NCT05773521

2022-124

Details and patient eligibility

About

Laparoscopic appendectomy is a very common intervention in pediatric surgery. To improve outcomes, some teams have developed the use of single-site laparoscopic appendectomy (SILAP). Nevertheless, there is no consensus yet and no published data on the better perioperative analgesia, and different modalities including general intravenous analgesia, locoregional pre-operative analgesia and local analgesia can be used.

Full description

The aim of this retrospective study is to describe the different types of perioperative analgesia routinely used and to compare them to determine the more efficient one for early postoperative pain relief.

Enrollment: 140 estimated patients

Sex: All

Ages: 1 day to 15 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients operated on for appendectomy by SILAP, aged 15 years and under in our pediatric surgical center.

Exclusion criteria

• Patients aged 16 years or more.
• Patients with concomitant pathologies potentially inducing hyper- or hypoesthesia (e.g. cancers, spinal cord injury, etc...)
• Patients with contraindications for the use of IV analgesics.
• patients operated on for appendectomy through 3-ports laparoscopy or open surgery.
• Opposition of the patients and their representative to the study.

Trial design

140 participants in 1 patient group

SILAP patients

Description:

This cohort is composed by all pediatric patients operated on for SILAP between January 1st, 2012 and August 31, 2022.

Treatment:

Procedure: SILAP (single incision laparoscopic appendectomy)