Use of Bipolar Diathermy VS Clips in Laparoscopic Appendectomy

Assiut University

Status: Not yet enrolling

Conditions: Laparoscopic Appendectomy; Bipolar Diathermy

Treatments: Procedure: clips closure; Procedure: bipolar diathermy; Procedure: laparoscopic appendectomy

Study type: Interventional

Funder types: Other

Identifiers

NCT06826651

Use of bipolar diathermy

Details and patient eligibility

About

Acute Appendicitis is the most frequent acute pathological abdominal illness needing immediate surgery. The laparoscopic appendectomy (LA) has become more popular and is advised as the first course of treatment, particularly for female, obese, and elderly patients.LA can also give surgeons a greater field view and identification of other abdominal organs that can have different pathologies that could mimic the symptoms of acute appendicitis.The most crucial step in preventing major complications such postoperative bleeding, peritonitis, sepsis is sealing the mesoappendix. Due to this circumstance, surgeons are looking for alternative treatments for LA. The best technique for sealing mesoappendix should be affordable, practical, safe, and easy to apply technically. Extracorporeal sliding knots, intracorporeal ligations, endo-loops, nonabsorbable polymer clips (Hem-o-lock clips), hand-made loops, and Ligasure usage, and bipolar cautery division are some of the techniques utilized at LA to seal mesoappendix. According to studies, each of these techniques is secure and practicable.5 In this study, there is a comparative study between using Bipolar diathermy as a source of sealing and other mechanical closure techniques for mesoappendix To assess effect of energy source sealing of mesoappendix by using Bipolar diathermy in comparison to mechanical closure by clips as regard outcome and complications.

Enrollment: 100 estimated patients

Sex: All

Ages: 18 to 70 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• All patients admitted to AUH with uncomplicated acute appendicitis or chronic appendicitis
• Age group (18-70)

Exclusion criteria

• patients with complex appendicitis (appendicular mass, abscess, etc).
• patients who had the following conditions: cirrhosis with ascites, abdominal distention, and coagulation disorders, cardiac patients; shock upon arrival, a large ventral hernia, and inflammatory bowel disease

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

Experimental group

Description:

Laparoscopic appendectomy, using of bipolar diathermy to coagulate mesoappendix

Treatment:

Procedure: laparoscopic appendectomy

Procedure: bipolar diathermy

Group B

Experimental group

Description:

laparoscopic appendectomy, using surgical clips in closure of mesoappendix

Treatment:

Procedure: laparoscopic appendectomy

Procedure: clips closure