NCT05637554

Laparoscopic Clipping Versus Extracorporeal Ligation in Complicated Appendicitis Upper Egypt Overview

Laparoscopic Clipping Versus Extracorporeal Ligation in Complicated Appendicitis Upper Egypt Overview, Prospective Randomized Comparative Study

• Status: Unknown
• Phase: N/A
• Study type: Interventional
• Enrollment: 40 (estimated)
• Sponsor: Assiut University · Academic / Other
• Sex: All
• Age: 7 Years – 60 Years
• Healthy volunteers: Not accepted

Summary

The investigators aim to compare between laparoscopic clipping and extracorporeal ligation in complicated appendicitis regarding safety, efficacy, operative time, postoperative outcome, hospital stay and complications.

Detailed description

Appendectomy has become one of the most commonly performed emergency abdominal operations since it's description by McBurney in the 1890s. Since laparoscopic appendectomy was first described in 1983, there is an increase in the general trend towards performing this surgery using laparoscopy instead of open technique as this approach shows better pain score, lesser use of analgesics, less operative complications, better post operative recovery, less hospital stay and rapid return to normal work. There are many methods for securing the base of the appendix, some of which are expensive others are not available or technically demanding. In this study the investigators aim to compare between extracorporeal ligation and clipping techniques regarding feasibility, safety, efficacy, operative time, postoperative outcome and complications especially in complicated appendicitis. AS management of complicated appendicitis laparoscopically is possible, secure and can lead to a little occurrence of infectious complications, fewer post-operative pain, quick revival and improve cosmesis so the investigators will do a prospective clinical trial comparative study between two common techniques to determine the best one in management of complicated cases.

Conditions

• Appendicitis

Interventions

Type	Name	Description
PROCEDURE	Laparoscopic appendectomy using clipping.	Laparoscopic appendectomy using clipping to secure the base of the appendix.
PROCEDURE	Laparoscopic appendectomy using extracorporeal ligation to secure the base of the appendix.	Laparoscopic appendectomy using extracorporeal ligation to secure the base of the appendix.

Timeline

• Start date: 2023-02-01
• Primary completion: 2023-12-01
• Completion: 2024-01-01
• First posted: 2022-12-05
• Last updated: 2023-02-01