Which Trocar Access Site Should We Use in Laparoscopic Appendectomy?

Study Overview
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Brief Summary
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Open appendectomy has been used in the treatment of appendicitis, which is among the most common emergency pathologies worldwide, since the end of the 19th century. In the 20th century, laparoscopic appendectomy came to the fore and the frequency of use increased gradually. Despite the frequency of laparoscopic appendectomy, there is no consensus on the best way to perform each procedural step. One of these steps is the trocar entry areas. In this study, investigator's aim is to compare the trocar entry areas, which are various reports in the literature, and to find the localization with the optimal usage area. 140 patients who underwent laparoscopic appendectomy between 2021-2022 were randomized into four groups and included in the study. Demographic data, peroperative findings, complications, length of stay and post-operative VAS values of the patients were evaluated.

Official Title
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Which Trocar Access Site Should We Use in Laparoscopic Appendectomy?

Conditions
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Pain

Intervention / Treatment
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* Procedure: Only different trocar sites


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: patients who underwent laparoscopic appendectomy Exclusion Criteria: patients who underwent open surgery and did not want to be involved in the study process

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 90 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Treatment
Allocation: Randomized
Intervention Model: Parallel Assignment
Interventional Model Description: Four trocar tecnıques groups in literature
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Active Comparator: Group 1<br>trocar entry areas:Periumblical, left lower quadrant, suprapubic | Procedure: Only different trocar sites<br>* Only different trocar sites in literature<br>|
| Active Comparator: Group 2<br>trocar entry areas: Periumblical, left lower quadrant, right lower quadrant | Procedure: Only different trocar sites<br>* Only different trocar sites in literature<br>|
| Active Comparator: group 3<br>trocar entry areas: Periumblical, right lower quadrant, suprapubic | Procedure: Only different trocar sites<br>* Only different trocar sites in literature<br>|
| Active Comparator: Group 4<br>trocar entry areas: Periumblical, left lower quadrant, left upper quadrant | Procedure: Only different trocar sites<br>* Only different trocar sites in literature<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Pain Intensity measure | self reported pain intensity morning. item is scored 0-10 ( 0: no pain- 10: pain as bad as | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Laparoscopy, Minimally invasive surgery, appendicitis, colorectal