Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Study Overview
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Brief Summary
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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
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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.

Official Title
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Evaluation the Role of Laparoscopic Management of Perforated Appendicitis

Conditions
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Perforated Appendicitis

Intervention / Treatment
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* Other: Laparoscopic management of perforated appendicitis


Participation Criteria
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Eligibility Criteria
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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 .

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 60 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Evaluation the role of Laparoscopic management of perforated a<br> | Other: Laparoscopic management of perforated appendicitis<br>* Insertion of Ports Exposure of the Appendix peritoneal toilet and aspiration of pus after abdominal exposure Isolation of Mesoappendicular Artery Clipping and Dividing of the Artery Application of 3 x Endoloops Division of the Appendix Retrieval of the Appendix in an Endobag<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| early recovery | recovery within 2 days | 2 day | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| wound cosmetic appearance | no scare of incision post laporscopic mangement | 6 months |