Comparison Between Metallic Clip Ligation and Suture Ligation of Appendicular Stump in Laparoscopic Appendectomy

ConditionLaparoscopic Appendectomy

Trial statusNot yet recruiting

Trial phaseNot applicable

Trial typeInterventional

Biological sexAll

Age15-60

SponsorJinnah Hospital

About this trial

Laparoscopic appendectomy is the standard procedure for acute appendicitis. Among the various steps of the procedure one of the rate limiting step is the ligation of the appendicular stump which can be done using suture material, metallic clips and hem o loks. This study compares the effect the using metallic clips versus suture material in the ligation of appendicular stump in terms of length of surgery and associated intra-operative complications. The patients included will be within the age group of 15-60 years, with BMI of 18-28kg/m2, and with acute appendicitis of upto grade 3. The data will be analyzed using SPSS a p value of \<0.05 will be considered as statistically significant.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Both genders, within the age bracket of 15 years - 60 years.

With a BMI within the range of 18 - 28 kg/m2.

With a diagnosis made by a consultant surgeon and the grade of appendicitis upto 3.

Disqualifiers

Patients with long standing comorbidities including chronic liver disease, diabetes mellitus, chronic kidney disease and hemorrhagic disorders.

Patients taking anticoagulants, carrier of active cases of Hepatitis B, C and/or HIV.

Patients on immunosuppression therapy. Diameter of appendicular stump of more than 10mm, perforated appendix, laparoscopic appendectomy converted to open appendectomy pelvic appendicitis and sub-hepatic appendicitis.

Trial design

Design model

Parallel

Treatments tested in this trial

Metallic clip ligation of the appendicular stump
Device
The group A patients will be having the appendicular stump ligated using the metallic clip, and assessed in terms of length of surgery and associated intra operative complications.
Suture ligation of appendicular stump
Device
The appendicular stump in the second arm will be ligated using appropriate suture material and assessed in terms of length of surgery and rate of intraoperative complications.

Treatment groups

10 Participants

are divided into 2 treatment groups

Group A: Group A - Patients undergoing metallic clip ligationActive comparator 1 intervention

Group B: Group B - Patients undergoing suture material ligation of appendicular stumpExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

Length of surgery

The length of surgery will be measured in terms of minutes from the start of the pneumoperitoneum insufflation till the evacuation of the pneumoperitoneum at the conclusion of the surgery.

Time frame

Intraoperative

Sponsors and contacts

Click on the lead sponsor to view all of their trials.

Jinnah Hospital

Lead sponsor

Source ClinicalTrials.gov

This trial is not recruiting at the moment. You can still explore other options: