Comparison of Open and Laparoscopic Appendectomy in Pediatric Population

King Edward Medical University100 enrolled

Overview

Introduction: In the era of minimally invasive surgery, changing trends are towards laparoscopic surgery, first introduced in 1983. Now the preferred operation for children with appendicitis, laparoscopic appendectomy is associated with a reduced risk of wound infection, less postoperative pain and shorter hospital stay as compared to open appendectomy. Objectives: To compare the outcome of open and laparoscopic appendectomy in children presenting with appendicitis in terms of operative time, postoperative pain, wound infection and hospital stay.

A total of 100 children presenting with acute appendicitis were included in this study, In group A, patients were undergone laparoscopic appendectomy. In group B, patients were undergone open appendectomy. During surgery, operative time was noted. After surgery, patients were shifted to surgical wards and were followed-up there till discharge. Patients were followed regularly by the researcher for mean post-operative pain at 24 hours. At discharge, hospital stay was noted. Then patients followed up in outpatient department for 10 days for any evidence of wound infection.

Study Type

INTERVENTIONAL

Allocation

RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

100

Conditions

Appendicitis Acute

Interventions

Laparoscopic appendicectomyPROCEDURE

In group A laparoscopic appendicectomy was done while in group B Open appendicectomy was done

Eligibility

Sex: ALLMin age: 7 YearsMax age: 12 Years

Medical Language ↔ Plain English

Inclusion Criteria: 1. Children of age 7-12 years of either gender diagnosed as acute appendicitis 2. pediatric appendicitis score \>4 Exclusion Criteria: 1. Children with comorbidities, 2. Perforated appendix 3. Appendicular mass (on clinical examination). -

Locations (1)

Muhammad Sharif

Lahore, Punjab Province, Pakistan

Outcomes

Primary Outcomes

Operative time

from time of incision to skin closure

Time frame: during surgery

wound infection

It was labelled if there was redness, swelling or pus present at surgical wound site

Time frame: 10 days

Hospital stay

It was measured in terms of days required to stay in hospital after surgery. The start time will be the day of operation and end time was the day of discharge from hospital.

Time frame: 5 days

Postoperative pain

It was measured by using visual analogue scale (VAS), which consists of score minimum zero to maximum ten score

Time frame: 48 hours

Data from ClinicalTrials.gov

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