Evaluation the Role of Laparoscopic Management of Perforated Appendicitis
Trial Snapshot
- Phase
- Not Applicable
- Sponsor
- Assiut University
- Enrollment
- 30
- Primary Endpoint
- early recovery
Study Overview
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 Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Treatment
- Masking
- None
Eligibility Criteria
- Ages
- 18 Years to 60 Years (Adult)
- Sex
- All
- Accepts Healthy Volunteers
- Yes
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 .
Arms & Interventions
Evaluation the role of Laparoscopic management of perforated a
Intervention: Laparoscopic management of perforated appendicitis (Other)
Outcomes
Primary Outcomes
early recovery
Time Frame: 2 day
recovery within 2 days
Secondary Outcomes
- wound cosmetic appearance(6 months)
Investigators
samir hosny mahmoud mohamed
general surgery
Assiut University