Transumbilical Laparoscopic Appendectomy

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age5-18
SponsorNecmi Kadıoğlu Hospital

About this trial

Transumbilical laparoscopic appendectomy (TULA) is increasingly favored in the treatment of appendicitis within the realm of minimally invasive surgical approaches. This procedure offers advantages such as superior cosmetic outcomes and reduced postoperative pain. However, like all surgical interventions, it carries the inherent risk of surgical site infections (SSI), which pose significant challenges to patient health and healthcare systems by escalating treatment costs, prolonging recovery, and increasing morbidity rates. This study aims to evaluate the efficacy of the "glove finger method" in mitigating SSI risk in TULA.

The rationale for this study is predicated on the hypothesis that the glove finger method could serve as a simple and cost-effective measure offering potential protection against SSIs. When compared to traditional methods, this technique may not only reduce surgical duration but also diminish the risk of SSIs, thereby potentially decreasing hospital stay durations. Furthermore, enhancing the understanding of factors contributing to the development of SSIs and developing effective strategies for their prevention can elevate patient care quality and alleviate the burden on healthcare systems.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

None

Disqualifiers

None

Trial design

Design model

Single group

Treatments tested in this trial

  • Transumbilical laparoscopic appendectomy + Glove finger technique

    Procedure/Surgery

    Ssince the appendix becomes infected when it is removed from the umbilicus, the infected appendix contacts the edge of the incision during release, thus contaminating the incision and causing postoperative wound infection. Additionally, in the experimental, to prevent this wound infection, after the appendix is taken out through the umbilical incision, the appendix is placed inside the glove finger, thus preventing the appendix from touching the wound during its release. This reduces wound infection in the postoperative period.

  • Standard transumbilical laparoscopic appendectomy

    Procedure/Surgery

    Standart transumbilical laparoscopic appendectomy

Treatment groups

100 Participants
are divided into 2 treatment groups
Group A: Standard transumbilical laparoscopic appendectomyActive comparator 1 intervention
Group B: Transumbilical laparoscopic appendectomy + glove finger techniqueExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Operative time

operative time

Time frame
intraopertaive period
2

Postoperative wound infection

Postoperative wound infection

Time frame
2 weeks

Secondary outcomes

Other outcomes

Sponsors and contacts

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