EFFECT OF USING SAME DERMATOME LİNE FOR ALL PORT SİTES IN LAPAROSCOPIC APPENDECTOMY IN ACUTE APANDICITIS

NCT03792802 | Completed

• 1 other identifier: ANIL ERGIN..
• Study Type: interventional
• Target: 60
• Locations: 1 country
• Sites: 1

Brief Summary

Acute apandicitis is the one of most common cause of abdominal pain.Most of center still use open appendectomy(OA) technic for acute apandisitis.But Semm was defined Laparoskopic appendectomy(LA) with 3 ports in 1983.Today surgeons skill and experience ara increasing about LA day by day. Because of advantages of LA , this technical tend to be gold standart in acute apandisitis. In LA , all of centers use same technic as 3 ports for the surgery. Port sites located 1 infraumbilical , 1 right lower quadrant and 1 left lower quadrent in this surgery. But 3 dermatome lines have been effected in this style of location .This 3 points causes more pain postoperatively.In our study we will define the port locations into the same dermatome line (T10) . Purpose of this research is incerasing the postoperative pain score ,decreasing postoperative need of analgesia and develop the patient satisfy.

Conditions

Appendicitis

Keywords

dermatome; laparoscopic appendectomy

Outcome Measures

Primary Outcomes (1)

• compare of same dermatome trochar sites and different dermatomes trokar sites methods for postoperative pain relief by VAS (Visual Analog Scala)

  pain scores of the participants will be followed at postoperative 1,2,4,6,12,24 hour (up to 24 hours). (VAS: from 0 to 10, 0 = no pain, 10 = the worst pain) The higher score idicates the worse outcome.

  24 hours

Study Arms (2)

classic port sites

ACTIVE COMPARATOR

. Port sites located 1 infraumbilical , 1 right lower quadrant and 1 left lower quadrent

Procedure: laparoscopic appendectomy port sites

same dermatome port sites

ACTIVE COMPARATOR

One of the port will put in infraumbilical site and the other ones will put 10 cm right and left side from infraumbilical port.

Procedure: laparoscopic appendectomy port sites

Interventions

laparoscopic appendectomy port sites PROCEDURE

one group will have classic port sites ;.Port sites located 1 infraumbilical , 1 right lower quadrant and 1 left lower quadrent . one group will have same dermatome port sites ; One of the port will put in infraumbilical site and the other ones will put 10 cm right and left side from infraumbilical port

Also known as: port sites in the same dermatome T10

classic port sites; same dermatome port sites

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• The patients who will undergo to Laparoscopic Appendectomy for Acute Apandisitis older than 18 years old.

You may not qualify if:

• Perforated apandisitis
• Plastrone apndisitis

Sponsors & Collaborators

• Fatih Sultan Mehmet Training and Research Hospital: lead

Study Sites (1)

Fatih Sultan Mehmet Research and Training Hospital

Istanbul, 34734, Turkey (Türkiye)

Location

MeSH Terms

Conditions

Appendicitis

Condition Hierarchy (Ancestors)

Intraabdominal Infections; Infections; Gastroenteritis; Gastrointestinal Diseases; Digestive System Diseases; Cecal Diseases; Intestinal Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: QUADRUPLE
• Who Masked: PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
• Masking Details: Care provider, participant and investigator did not know which type of surgery has applicated.
• Purpose: PREVENTION
• Intervention Model: CROSSOVER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: asistant doctor

Model Details: Model 1: Single dermatome laparoscopic appendectomy Model 2: Standard laparoscopic appendectomy

Study Record Dates

• First Submitted: January 2, 2019
• First Posted: January 3, 2019
• Study Start: April 1, 2019
• Primary Completion: July 1, 2020
• Study Completion: January 1, 2021
• Last Updated: March 23, 2021

Record last verified: 2021-03

Data Sharing

• IPD Sharing: Will not share

Locations

TU (1)