Ignite Creation Date:
2024-07-17 @ 10:49 AM
Last Modification Date:
2024-10-26 @ 3:34 PM
Study NCT ID:
NCT06490185
Status:
NOT_YET_RECRUITING
Last Update Posted:
2024-07-08
First Post:
2024-06-29
Brief Title:
Peri-appendiceal Abscess and Phlegmon in Acute Complicated Appendicitis Patients
Sponsor:
Shanghai Zhongshan Hospital
Organization:
Shanghai Zhongshan Hospital
Study Overview
Official Title:
Clinical Significance of Peri-appendiceal Abscess and Phlegmon in Acute Complicated Appendicitis Patients Undergoing Emergency Appendectomy A Single-center Retrospective Study
Status:
NOT_YET_RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
This study aim to analyze the clinical data of patients who underwent emergency appendectomy for acute complicated appendicitis with peri-appendiceal abscess or phlegmon identify factors influencing the post-operative length of hospital stay LOS and improve treatment strategies
Detailed Description:
Appendicitis is defined as inflammation of the vermiform appendix and worldwide is the most common reason for emergency abdominal surgery Globally the annual incidence is 965 to 100 cases per 100 000 adult population For acute uncomplicated appendicitis antibiotic therapy has emerged as the primary treatment often allowing patients to avoid surgery However the management of acute complicated appendicitis requires careful consideration of various treatment options
Complicated appendicitis characterized by peri-appendiceal phlegmon or abscess formation presents additional challenges and often requires a more comprehensive treatment approach Management strategies have evolved to incorporate both conservative and surgical treatments tailored to the patients condition Typically for early-stage appendicitis duration of symptoms 72 hours with peri-appendiceal phlegmon surgical treatment is recommended while late-stage appendicitis duration of symptoms 72 hours or cases with peri-appendiceal abscess formation are initially managed conservatively with percutaneous drainage and antibiotics Despite this some patients still prefer surgical intervention for various reasons Currently there is a lack of studies on the outcomes of patients with acute complicated appendicitis who opt for surgery over conservative treatment highlighting the need for further research
In practical terms the benefits and risks of all treatment options should be thoroughly presented and discussed Recommendations for surgery versus a conservative treatment-first approach should be based on individual clinical and radiographic findings as well as patient treatment expectations and preferences This study aim to investigate the clinical significance of peri-appendiceal abscess or phlegmon in the surgical management of acute complicated appendicitis
Complicated appendicitis characterized by peri-appendiceal phlegmon or abscess formation presents additional challenges and often requires a more comprehensive treatment approach Management strategies have evolved to incorporate both conservative and surgical treatments tailored to the patients condition Typically for early-stage appendicitis duration of symptoms 72 hours with peri-appendiceal phlegmon surgical treatment is recommended while late-stage appendicitis duration of symptoms 72 hours or cases with peri-appendiceal abscess formation are initially managed conservatively with percutaneous drainage and antibiotics Despite this some patients still prefer surgical intervention for various reasons Currently there is a lack of studies on the outcomes of patients with acute complicated appendicitis who opt for surgery over conservative treatment highlighting the need for further research
In practical terms the benefits and risks of all treatment options should be thoroughly presented and discussed Recommendations for surgery versus a conservative treatment-first approach should be based on individual clinical and radiographic findings as well as patient treatment expectations and preferences This study aim to investigate the clinical significance of peri-appendiceal abscess or phlegmon in the surgical management of acute complicated appendicitis
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None