Fast Track Therapeutic Model in Acute Complicated Appendicitis in Pediatrics

Launched by FUNDACIÓ INSTITUT DE RECERCA DE L'HOSPITAL DE LA SANTA CREU I SANT PAU · Feb 27, 2023

Keywords

ClinConnect Summary

This clinical trial is studying a new approach to treating complicated appendicitis in children, specifically looking at the effects of a "Fast Track" surgery method. The goal is to see how this method impacts the rate of complications, like abdominal abscesses, after surgery. Researchers are particularly focused on children aged 2 to 16 who are diagnosed with complicated appendicitis and have undergone a laparoscopic appendectomy, which is a minimally invasive type of surgery.

To be eligible for this study, children must have specific criteria, such as having an increased white blood cell count or C-reactive protein level 72 hours after surgery, but they need to be stable with no fever and able to eat normally. Parents or guardians must also agree for their child to participate. If your child qualifies and you choose to participate, you can expect close monitoring after the surgery to assess recovery and any potential complications. This trial is currently recruiting participants, and it aims to improve how we care for children with this condition.

Gender

ALL

Eligibility criteria

• Inclusion criteria:
• • Ages 2 to 16 years Intraoperative diagnosis of complicated appendicitis. Laparoscopic appendectomy. 72 hours postoperative. Leukocyte count and C-reactive protein at 72 hours post-surgery increased (minimum 20% with respect to the preoperative baseline). Complete oral tolerance. Pain controlled with conventional analgesia.Afebrile (more than 24 hours).
• Exclusion criteria:
• • History of cystic fibrosis, Crohn's disease, transplant or appendicitis. Chronic requiring elective technique. Contraindication to the administration of amoxicillin-clavulanic acid. Refusal to participate in the study by parents/legal guardians.