NCT03267082

Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 30 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 18 Years – 60 Years
• Healthy volunteers: Accepted

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.

Conditions

• Perforated Appendicitis

Interventions

Type	Name	Description
OTHER	Laparoscopic management of perforated appendicitis	1. Insertion of Ports 2. Exposure of the Appendix 3. peritoneal toilet and aspiration of pus after abdominal exposure 4. Isolation of Mesoappendicular Artery 5. Clipping and Dividing of the Artery 6. Application of 3 x Endoloops 7. Division of the Appendix 8. Retrieval of the Appendix in an Endobag

Timeline

• Start date: 2017-09-15
• Primary completion: 2019-03-15
• Completion: 2019-03-15
• First posted: 2017-08-30
• Last updated: 2017-08-30