Re-assessment of Appendicitis Evaluation During Laparoscopic Appendectomy, Peritoneal Irrigation During Laparoscopic Appendectomy Does the Grade of Contamination Matter?

Launched by NIGUARDA HOSPITAL · Sep 29, 2021

Keywords

ClinConnect Summary

This clinical trial is studying the effects of a procedure called laparoscopic lavage during laparoscopic appendectomy, which is surgery to remove the appendix. Researchers want to find out if using this washing technique impacts the chances of developing complications, like abscesses (pockets of infection) after surgery, especially in patients with different levels of infection and severity of appendicitis. The goal is to understand whether this technique should be used based on how severe the condition is and how contaminated the abdominal area is during the operation.

To be eligible to participate, patients must be between 18 and 69 years old and diagnosed with acute appendicitis that requires laparoscopic surgery. Patients who have had previous surgeries for appendicitis, other abdominal infections, or certain health conditions, like immune system issues, cannot participate. Those who join the trial will contribute to important research that could help improve surgical practices and outcomes for future patients with appendicitis.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Patients between 18 and 69 years old
• • Surgical laparoscopic approach for AA
• • Intra-operative and histological diagnosis of AA
• Exclusion Criteria:
• • Patients \< 18 years old or \> 69 years old
• • Previous appendectomy
• • Previous appendicitis treated conservatively
• • Open approach for surgery or intra-operative conversion
• • Co-existence of other intra-abdominal infections (IAI)
• • Patients with immunodeficiency
• • Patients treated with steroid, immunosuppressant, or CHT within previous 6 months