Comparison of Open and Laparoscopic Appendectomy in Pediatric Population
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 100
- 试验地点
- 1
- 主要终点
- Postoperative pain
研究概览
简要总结
Introduction: In the era of minimally invasive surgery, changing trends are towards laparoscopic surgery, first introduced in 1983. Now the preferred operation for children with appendicitis, laparoscopic appendectomy is associated with a reduced risk of wound infection, less postoperative pain and shorter hospital stay as compared to open appendectomy.
Objectives: To compare the outcome of open and laparoscopic appendectomy in children presenting with appendicitis in terms of operative time, postoperative pain, wound infection and hospital stay.
详细描述
A total of 100 children presenting with acute appendicitis were included in this study, In group A, patients were undergone laparoscopic appendectomy.
In group B, patients were undergone open appendectomy. During surgery, operative time was noted. After surgery, patients were shifted to surgical wards and were followed-up there till discharge. Patients were followed regularly by the researcher for mean post-operative pain at 24 hours. At discharge, hospital stay was noted. Then patients followed up in outpatient department for 10 days for any evidence of wound infection.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 7 Years 至 12 Years（Child）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Children of age 7-12 years of either gender diagnosed as acute appendicitis
- •pediatric appendicitis score >4
排除标准
- •Children with comorbidities,
- •Perforated appendix
- •Appendicular mass (on clinical examination). -
研究组 & 干预措施
Group A laparoscopic appendicectomy
In Group A (50 patients) laparoscopic appendicectomy was done
干预措施: Laparoscopic appendicectomy (Procedure)
Group B open appendicectomy
In Group B(50 patients) open appendicectomy was done
干预措施: Laparoscopic appendicectomy (Procedure)
结局指标
主要结局
Postoperative pain
时间窗: 48 hours
It was measured by using visual analogue scale (VAS), which consists of score minimum zero to maximum ten score
wound infection
时间窗: 10 days
It was labelled if there was redness, swelling or pus present at surgical wound site
Hospital stay
时间窗: 5 days
It was measured in terms of days required to stay in hospital after surgery. The start time will be the day of operation and end time was the day of discharge from hospital.
Operative time
时间窗: during surgery
from time of incision to skin closure
次要结局
未报告次要终点
研究者
Muhammad Sharif
PROFESSOR
King Edward Medical University