RecruitingNot ApplicableNCT06177418

Transumbilical Laparoscopic Appendectomy

Glove Finger Method to Prevent Wound Infection in Children Undergoing Transumbilical Laparoscopic Appendectomy


Sponsor

Necmi Kadıoğlu Hospital

Enrollment

100 participants

Start Date

Dec 25, 2023

Study Type

INTERVENTIONAL

Conditions

Summary

Transumbilical laparoscopic appendectomy (TULA) is increasingly favored in the treatment of appendicitis within the realm of minimally invasive surgical approaches. This procedure offers advantages such as superior cosmetic outcomes and reduced postoperative pain. However, like all surgical interventions, it carries the inherent risk of surgical site infections (SSI), which pose significant challenges to patient health and healthcare systems by escalating treatment costs, prolonging recovery, and increasing morbidity rates. This study aims to evaluate the efficacy of the "glove finger method" in mitigating SSI risk in TULA. The rationale for this study is predicated on the hypothesis that the glove finger method could serve as a simple and cost-effective measure offering potential protection against SSIs. When compared to traditional methods, this technique may not only reduce surgical duration but also diminish the risk of SSIs, thereby potentially decreasing hospital stay durations. Furthermore, enhancing the understanding of factors contributing to the development of SSIs and developing effective strategies for their prevention can elevate patient care quality and alleviate the burden on healthcare systems.


Eligibility

Min Age: 5 YearsMax Age: 18 Years

Inclusion Criteria1

  • patients undergo appendectomy between 5 and 18 years.

Exclusion Criteria1

  • Comorbidity previous surgery

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Interventions

PROCEDURETransumbilical laparoscopic appendectomy + Glove finger technique

Ssince the appendix becomes infected when it is removed from the umbilicus, the infected appendix contacts the edge of the incision during release, thus contaminating the incision and causing postoperative wound infection. Additionally, in the experimental, to prevent this wound infection, after the appendix is taken out through the umbilical incision, the appendix is placed inside the glove finger, thus preventing the appendix from touching the wound during its release. This reduces wound infection in the postoperative period.

PROCEDUREStandard transumbilical laparoscopic appendectomy

Standart transumbilical laparoscopic appendectomy


Locations(1)

Mustafa Azizoğlu

Istanbul, Turkey (Türkiye)

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NCT06177418


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