Feasability of Ambulatory Appendicectomy
Condition: Appendicitis Acute
MeSH terms: Appendicitis
Study type: Interventional

Summary: 
      The investigators will conduct a monocentric prospective preliminary study evaluating the
      feasibility of appendectomy for simple acute appendicitis in a cohort of 6-17 year-old
      children presenting to the emergency department of the Hôpital Pédiatrique de Nice CHU-Lenval
      (Lenval Childre Hospital, Nice) on a Period of 1 year.
    

Detailed description: 
      Acute appendicitis represents the first visceral surgical emergency of the child in terms of
      frequency, resulting in hospitalization, hospitalization and family costs, as well as an
      alteration in family dynamics.

      Reducing the duration of hospitalization and allowing the child to return more quickly to his
      usual environment would not only reduce the risks of nosocomial infections and the workload
      of medical and paramedical teams but would reduce the emotional burden for the child, In
      addition to its consequences in terms of professional disorganization induced in the parents
      by the hospitalization of their child. Ambulatory hospitalization would also reduce the cost
      of this pathology.

      In the context of ambulatory surgery, the patient's journey from admission to hospital must
      be perfectly codified; The novelty of this study lies in the fact of applying this mode of
      hospitalization to emergency surgery.

      Once the consultation for abdominal pain by an emergency pediatrician carried out, the
      diagnostic orientation is confirmed by a visceral pediatric surgeon who performs a biological
      check-up and an abdominal ultrasound. After confirmation of eligibility for ambulatory care
      according to national recommendations and informed consent, the child is - according to the
      time of care and the clinical condition of the patient - immediately hospitalized in the unit
      (UCA) be allowed to return to his home with reconviction in the ambulatory surgery unit the
      next morning, at the opening of the service, on an empty stomach.

      The abdominal ultrasound confirms the orientation and the diagnosis of acute appendicitis
      simple is posed.

      The laparoscopic appendectomy is performed after the anesthesia consultation. The patient is
      monitored and replenished early in the UCA according to a standardized and computerized
      protocol.

      The return home is authorized by the confirmation of "aptitude to the street" by systematic
      consultation of a senior surgeon and an anesthetist.

      The surgical and anesthetic techniques remain the same as in traditional surgery, but the
      timing is organized for an outpatient treatment The follow-up of the child will be carried
      out as early as day 1 by the call of the UCA, then at day 8 during postoperative consultation
      and finally at day 30 post-operative per call.
    

Intervention name(s): Ambulatory appendicectomy
Intervention type(s): Other
Intervention description(s): The intervention consist of an ambulatory care by appendicectomy of the acute appendicitis. The normal care is an appendicectomy and an hospitalisation during 2 or 3 days .
Intervention model: Single Group Assignment
Masking: None (Open Label)
Primary purpose: Other
Keywords: Appendicitis Acute; AMBULATORY