Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Not Applicable

• Conditions: Perforated Appendicitis
• Interventions: Other: Laparoscopic management of perforated appendicitis

• Registration Number: NCT03267082
• Lead Sponsor: Assiut University

Brief Summary

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.

Detailed 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.

Study Timeline

• Status Verified: 2017-08
• Study First Submitted: 2017-08-20
• Study First Submitted QC: 2017-08-27
• Last Update Submitted: 2017-08-27
• Study First Posted: 2017-08-30
• Last Update Posted: 2017-08-30
• Study Start: 2017-09-15
• Primary Completion: 2019-03-15
• Study Completion: 2019-03-15

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 30

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.

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Exclusion Criteria

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

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: SINGLE_GROUP

Arm && Interventions

Group	Intervention	Description
Evaluation the role of Laparoscopic management of perforated a	Laparoscopic management of perforated appendicitis	-

Primary Outcome Measures

Name	Time	Method
early recovery	2 day	recovery within 2 days

Secondary Outcome Measures

Name	Time	Method
wound cosmetic appearance	6 months	no scare of incision post laporscopic mangement