Treatment Strategy for Complicated Pediatric Appendicitis Based on Laparoscopic Surgery (CALAP)

Mohammad Daboos

Status: Completed

Conditions: Appendix Diseases; Surgery

Treatments: Procedure: laparoscopic appendectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT07385261

SUV-MED- SUR011-4-25-3-2

Details and patient eligibility

About

Observational retrospective study included 765 children with Operative management by laparoscopic appendectomy, conservative management for appendicular mass and drainage of abscess by IR should be tried first. Interval appendectomy is reserved only for patients with recurrent symptoms. the study collect the Diagnostic data ,intraoperative and post operative data to submit the strategies of laparoscopic management in limited resources setting.

Full description

Background and study aims: In children with complicated appendicitis significant morbidity exists with prolonged hospitalization and increased costs. The management strategy for complicated pediatric appendicitis differs depending on facility resources together with surgeon's experience. Various studies investigated the usefulness of laparoscopic than open surgery even in complicated appendicitis. However, the treatment strategy remains controversial, especially in appendicular mass as well as appendicular abscess.

Methods: This observational study included 765 children with complicated appendicitis. over 10 years period. Patients' demographics, clinical criteria for different presentations of complicated appendicitis, diagnostic work up, plans of treatment based on laparoscopic management were reviewed and analyzed regarding different variables and postoperative outcomes.

Enrollment: 765 patients

Sex: All

Ages: Under 18 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• laparoscopic management of Complicated Appendicitis with mass formation
• laparoscopic management of Complicated appendicitis with abscess formation:
• laparoscopic management of Complicated appendicitis with free intraperitoneal collection

Exclusion criteria

• Open surgery cases
• Patients received incomplete antibiotic therapy
• Accidental discovery coexistent pathology that necessitates open surgery

Trial design

Primary purpose: Treatment

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)

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765 participants in 1 patient group

Complicated Appendicitis

Experimental group

Description:

Complicated appendicitis: refer to acute appendicitis with perforation or gangrene, appendicular mass with or without abdominal abscess formation submitted for laparoscopic management with appendectomy and intraperitoneal suction of pus over the last 10 years

Treatment:

Procedure: laparoscopic appendectomy