The AirSeal System Valve-less Trocar is known to decrease postoperative pain, consumption of analgesics, operating time, and length of stay in adults during robotic and laparoscopic procedures. The investigators would like to know if these allegations also apply to children.
From January the 1st 2022 to December the 31st 2022, 100 children aged under 18 years old had an appendicular peritonitis treated by laparoscopic appendectomy. The pediatric surgeons either used the AirSeal System Valve-less Trocar or the standard insufflation. On one hand, only the surgeon, the anesthetist and the nurses of the operating room knew which type of insufflation was used. On the other hand, the patient, his parents and the nurses in the pediatric department did not know which type of insufflation was used. The participants were divided in two groups: the Airseal group (A) and the standard group (S). In each group, the investigators studied and compared the postoperative pain, the consumption of analgesics, the operating time, and the length of stay for each participant.
Study Type
OBSERVATIONAL
Enrollment
100
Airseal is a constant and low-pressure insufflation device. Standard insufflation is a variable pressure insufflation device.
University Hospital, Clermont-Ferrand
Clermont-Ferrand, Auvergne, France
Consumption of analgesics
Number of medications taken during hospitalization
Time frame: From the end of surgery to the discharge home, up to 20 days
Length of stay
Length of stay
Time frame: From the admission to the discharge home, up to 20 days
Operating Time
Time to operate the patients
Time frame: From beginning to end of surgery
Mean Digital Pain Scale
Digital Pain Scale: minimum is 0 out of 10 (which means no pain) and maximum is 10 out of 10 (which means very painful). Higher scores mean worse outcomes.
Time frame: Immediately after surgery until discharge home, up to 20 days
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