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.
This study will compare transumbilical laparoscopic appendectomy (TULA) methods applied
to pediatric patients diagnosed with acute appendicitis at our clinic. Employing a
randomized controlled design, the study aims to assess the efficacy and safety
differences between two distinct surgical techniques currently in practice.
The study will adopt a randomized, controlled, and prospective design. Patients will be
randomly allocated into two groups based on the treatment methods:
Group 1: Standard TULA Group: In this group, patients will undergo the standard TULA
procedure through a 15 mm trocar port in the umbilical region. The procedure will involve
locating the appendix and removing it via an extracorporeal approach.
Group 2: TULA + Glove Finger Technique Group: In addition to the standard TULA procedure,
patients in this group will receive the glove finger technique, aimed at preventing
contamination of surrounding tissues by infected tissue.
The research will examine parameters such as age, gender, duration of symptoms,
laboratory and radiological findings, applied treatment methods, surgical techniques,
complications, operation time, and the frequency of postoperative wound infections in
both groups. This study intends to shed light on the clinical outcomes of various TULA
methodologies.