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Open appendectomy has been used in the treatment of appendicitis, which is among the most common emergency pathologies worldwide, since the end of the 19th century. In the 20th century, laparoscopic appendectomy came to the fore and the frequency of use increased gradually. Despite the frequency of laparoscopic appendectomy, there is no consensus on the best way to perform each procedural step. One of these steps is the trocar entry areas. In this study, investigator's aim is to compare the trocar entry areas, which are various reports in the literature, and to find the localization with the optimal usage area. 140 patients who underwent laparoscopic appendectomy between 2021-2022 were randomized into four groups and included in the study. Demographic data, peroperative findings, complications, length of stay and post-operative VAS values of the patients were evaluated.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group 1 | Active Comparator | trocar entry areas:Periumblical, left lower quadrant, suprapubic |
|
| Group 2 | Active Comparator | trocar entry areas: Periumblical, left lower quadrant, right lower quadrant |
|
| group 3 | Active Comparator | trocar entry areas: Periumblical, right lower quadrant, suprapubic |
|
| Group 4 | Active Comparator | trocar entry areas: Periumblical, left lower quadrant, left upper quadrant |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Only different trocar sites | Procedure | Only different trocar sites in literature |
|
| Measure | Description | Time Frame |
|---|---|---|
| Pain Intensity measure | self reported pain intensity morning. item is scored 0-10 ( 0: no pain- 10: pain as bad as | 1 year |
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Inclusion Criteria:
Exclusion Criteria:
patients who underwent open surgery and did not want to be involved in the study process
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ersin Gundogan | Kayseri | Kocasinan | 38090 | Turkey (Türkiye) |
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| ID | Term |
|---|---|
| D010146 | Pain |
| D001064 | Appendicitis |
| ID | Term |
|---|---|
| D009461 | Neurologic Manifestations |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
| D059413 | Intraabdominal Infections |
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Four trocar tecnıques groups in literature
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| D007239 | Infections |
| D005759 | Gastroenteritis |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D002429 | Cecal Diseases |
| D007410 | Intestinal Diseases |