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Comparison of open and laparoscopic appendectomy
Adult patients with presumptive diagnosis of acute appendicitis were were operated by laparoscopic appendectomy or open appendectomy group during a three-year period (between 2007 and 2009).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| laparoscopic appendectomy | The laparoscopic appendectomy was performed with three trocars, placed in the periumbilical area, right midabdomen, and forceps. |
| |
| open appendectomy | The open appendectomy was carried out in the standard way with McBurney muscle splitting incision (in supine position). |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| laparoscopic appendectomy | Procedure | The laparoscopic appendectomy was performed with three trocars. Pneumoperitoneum was created using an open Hasson technique. The mesoappendix was divided using a harmonic scalpel or endoscopic tissue fusion device. The appendix was divided by placing one endoscopic loop and cut with harmonic scalpel. The specimen was removed through the umbilical port. |
| Measure | Description | Time Frame |
|---|---|---|
| Cost of hospitalization based on the final hospital bills | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) |
| Measure | Description | Time Frame |
|---|---|---|
| Analgesia demands | The number of doses of analgesics, and time from surgery to the last dose of analgesics. | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) |
| Complications |
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Inclusion Criteria:
Exclusion Criteria:Appendectomy performed during diagnostic laparoscopy and incidental appendectomies patients with:
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Adult patients with clinical, laboratory, and radiologic signs of acute appendicitis
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| Name | Affiliation | Role |
|---|---|---|
| Ranko Stare, MD, PhD | Varazdin General Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Varazdin General Hospital | Varaždin | 42000 | Croatia |
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| ID | Term |
|---|---|
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D059413 | Intraabdominal Infections |
| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
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|
| open appendectomy | Procedure | The open appendectomy was carried out in the standard way with McBurney muscle splitting incision (in supine position). |
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No. of wound infection and intrabdominal abscesses.
| during first 4 weeks after the surgery |
| Length of hospital stay | No. of days from surgery to discharge of hospital | from the beginning of the surgery till discharge from hospital (an expected average of 8 days, maximmum 20 days) |
| Time until resumption of clear liquid and regular diet | No. of days from surgery to the resumption of clear liquid and regular diet | from the beginning of the surgery to the resumption (an expected average 2 days after the surgery) |
| D004066 |
| Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |