Recurrent Appendicitis Following Successful Drainage of Appendicular Abscess in Adult

NCT05048745 | Completed

• 1 other identifier: recurrent appendicitis
• Study Type: observational
• Target: 316
• Locations: 1 country
• Sites: 1

Brief Summary

COVID-19 infection is a global pandemic that locked down hospitals and made patients fear to consult for medical health problems especially acute abdominal pain. Subsequently, complicated appendicitis namely appendicular abscess in increasing. The best treatment of an appendicular abscess is percutaneous drainage while no studies are dealing with recurrent appendicitis in cases without interval appendectomy during the COVID-19 pandemic. This study aimed to evaluate recurrent appendicitis after successful drainage of appendicular abscess without interval appendectomy during COVID. A prospective cohort study conducted in the surgical emergency units of University Hospitals between 15th March 2020 to 15th August 2020 on 316 patients admitted during the study period with the clinical diagnosis of a successful drained appendicular abscess. (Open or radiological).

Conditions

Appendicitis

Keywords

appendicitis

Outcome Measures

Primary Outcomes (1)

• recurrence

  incidence of recurrence

  1 year

Interventions

interval appendectomy PROCEDURE

interval appendectomy

Eligibility Criteria

• Age: 16 Years+
• Sex: all
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

Prospective cohort study conducted in the surgical emergency units of our University Hospitals between 15th March 2020 to 15th August 2020 on 316 patients admitted during the study period with the clinical diagnosis of a successful drained appendicular abscess. (Open or radiological). This study is compliant with the STROCSS criteria

You may qualify if:

• both sex
• successful drained appendicular abscess

You may not qualify if:

• generalized peritonitis
• pregnancy
• cases suspected of cancer caecum, inflammatory bowel disease, failure or difficult initial drainage e.g. pelvic abscess, appendectomy performed at the time of drainage, non-cooperative patients for regular follow up and abscess less than 3 cm if showed improvement of clinical and radiological signs within 3 days of antibiotic therapy alone.

Sponsors & Collaborators

• Zagazig University: lead

Study Sites (1)

Tamer Alsaied Alnaimy

Zagazig, Sharqia Province, 055, Egypt

Location

MeSH Terms

Conditions

Appendicitis

Condition Hierarchy (Ancestors)

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

Study Officials

• tamer alnaimy, Phd

  faculty of medicine zagazig university

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Target Duration: 12 Months
• Sponsor Type: OTHER GOV
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: assistant professour of general and laparoscopic surgery

Study Record Dates

• First Submitted: September 8, 2021
• First Posted: September 17, 2021
• Study Start: March 15, 2020
• Primary Completion: August 15, 2020
• Study Completion: August 15, 2021
• Last Updated: September 23, 2021

Record last verified: 2021-09

Data Sharing

• IPD Sharing: Will not share

Locations

EG (1)