Nonclosure of the Peritoneum during Appendectomy May Cause Less Postoperative Pain: A Randomized, Double-Blind Study

Objective. We aim to evaluate the effect of peritoneal closure on postoperative pain and life quality associated with open appendectomy operations. Methods. This is a single-center, prospective, randomized, and double-blinded study. Here, 18–65-year-old patients who underwent open appendectomy for a...

Full description

Saved in:
Bibliographic Details
Published in:Pain research & management 2019-01, Vol.2019 (2019), p.1-6
Main Authors: Kunduz, Enver, Yardımcı, Erkan, Yigman, Samet, Hasbahceci, Mustafa, Bektasoglu, Huseyin Kazim, Malya, Fatma Umit
Format: Article
Language:English
Subjects:
Abdomen
Appendectomy
Appendicitis
Clinical Study
Double-blind studies
Evidence-based medicine
Health aspects
Laparoscopy
Medical research
Medicine, Experimental
Mortality
Nonsteroidal anti-inflammatory drugs
Pain
Pain, Postoperative
Patients
Postoperative period
Quality of life
Statistical analysis
Surgery
Surgical techniques
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Objective. We aim to evaluate the effect of peritoneal closure on postoperative pain and life quality associated with open appendectomy operations. Methods. This is a single-center, prospective, randomized, and double-blinded study. Here, 18–65-year-old patients who underwent open appendectomy for acute appendicitis were included. Demographic data of the patients, operation time, length of hospital stay, pain scores using a 10 cm visual analogue scale (VAS) on the first postoperative day, quality of life assessment using the EuroQol-5D-5L questionnaire on postoperative 10th day, deep wound dehiscence, bowel obstruction, and mortality data were recorded. Results. In total, 112 patients were included in the study. The demographic data showed no significant difference between the groups. The median VAS score was lower in the group with open peritoneum, but this difference was not statistically significant (3 vs. 4, p=0.134). The duration of surgery was significantly shorter in the peritoneal nonclosure group (31.0 ± 15.1 vs. 38.5 ± 17.5 minutes, p=0.016). Overall complication rates and life quality test (EuroQol-5D-5L) results were similar between groups. Conclusion. Nonclosure of the peritoneum seems to shorten the duration of surgery without increasing complications during open appendectomy. Postoperative pain and life quality measures were not affected by nonclosure of the peritoneum. This trial is registered with NCT02803463.
ISSN:1203-6765
1918-1523
DOI:10.1155/2019/9392780