Bowel Obstruction Post Open Versus Laparoscopic Appendectomy

NCT07716709 | Completed

• 1 other identifier: Soh-Med--25-9-9MSSohagUH-DT-20
• Study Type: interventional
• Target: 50
• Locations: 1 country
• Sites: 1

Brief Summary

Acute appendicitis is one of the most common causes of acute abdominal pain requiring surgical intervention, with appendectomy being the definitive treatment . Traditionally performed through an open approach, appendectomy has evolved significantly with the advent of minimally invasive surgery. Since its introduction in the late 1980s, laparoscopic appendectomy has gained widespread acceptance and is now often preferred due to its well-documented advantages, including reduced postoperative pain, shorter hospital stay, quicker return to normal activity, and improved cosmetic outcomes . Despite these benefits, concerns remain regarding the long-term postoperative complications associated with both laparoscopic and open approaches, one of the most clinically significant being bowel obstruction

Conditions

Bowel Obstruction

Keywords

post appendectomy bowel obstruction

Outcome Measures

Primary Outcomes (1)

• Incidence of bowel obstruction post laparoscopic versus open appendectomy

  6 months

Secondary Outcomes (4)

• • Operative time

  : During operation (from incision to closure)

• Analgesic requirement

  From postoperative Day 0 through postoperative Day 7.

• Postoperative pain

  Postoperative Day 1.

• Post operative hospital stay

  From the day of surgery until hospital discharge (average of 2-5 days).

Study Arms (2)

Group A

ACTIVE COMPARATOR

Procedure: Open appendectomy

Gruop B

ACTIVE COMPARATOR

Procedure: Laparoscopic appendectomy

Interventions

Open appendectomy PROCEDURE

Open appendectomy For gruop A

Group A

Laparoscopic appendectomy PROCEDURE

Laparoscopic appendectomy for group B

Gruop B

Eligibility Criteria

• Age: 12 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• both genders
• confirmed diagnosis of acute appendicitis
• patients undergo laparoscopic or open appendectomy

You may not qualify if:

• appendectomy performed as apart of another operation
• prior history of abdominal surgery
• patients show generalized peritonitis

Sponsors & Collaborators

• Sohag University: lead

Study Sites (1)

Sohag University Hospitals

Sohag, Egypt

Location

MeSH Terms

Conditions

Intestinal Obstruction

Condition Hierarchy (Ancestors)

Intestinal Diseases; Gastrointestinal Diseases; Digestive System Diseases

Study Officials

• osama abdlrahem oraby, professor

  Sohag University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: DIAGNOSTIC
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: resident

Study Record Dates

• First Submitted: June 24, 2026
• First Posted: July 21, 2026
• Study Start: July 1, 2025
• Primary Completion: May 1, 2026
• Study Completion: July 1, 2026
• Last Updated: July 21, 2026

Record last verified: 2025-09

Locations

EG (1)