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Appendectomy Versus no Appendectomy With Cesarean Section

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details. Identifier: NCT00371722
Recruitment Status : Completed
First Posted : September 4, 2006
Last Update Posted : April 20, 2007
Information provided by:
Regional Obstetrical Consultants

Brief Summary:
Women having cesarean section will be divided into two groups - cesarean section alone or cesarean section with appendectomy. The purpose is to see if the appendectomy can be done without adding any complications to the maternal post-operative course. The hypothesis is that there is no increased incidence of wound infection, post-operative morbidity or longer hospital stay associated with elective appendectomy at the time of Cesarean Section.

Condition or disease Intervention/treatment Phase
Cesarean Delivery Appendectomy Procedure: Appendectomy Not Applicable

Detailed Description:
Even though the incidence of appendicitis has decreased significantly since the advent of antibiotics, the disease process is still quite ubiquitous in many patient populations. The incidence of appendicitis in women over 20 and under 50 years of age is significant. The annual incidence of appendicitis in women aged 17 to 64 years of age is 1.9 per 1000. In the population aged 15 to 19 years of age, the risk of developing appendicitis is 1 in 99 in each year of this 4-year period. Diagnosing appendicitis in pregnancy poses a great challenge for the obstetrician because the appendix is displaced during pregnancy, nausea is common in pregnancy, direct abdominal signs are variable as well. The incidence of proven appendicitis approximates 1 in 1500 deliveries. Maternal and fetal mortality and morbidity are increased when appendicitis is associated with pregnancy, and the risks rise significantly if perforation and peritonitis occur. Fetal loss, which is between 10 and 20% in most reports, is mainly due to preterm labor or intrauterine death, particularly when perforation occurs. There are three main reasons to perform an incidental appendectomy (at the time of cesarean section): To reduce future mortality and morbidity from appendicitis in women of childbearing age; to eliminate undiagnosed incidental pathology in the appendix; and to eliminate the appendix from diagnostic consideration when the patient presents with abdominal or pelvic complaints. There will be 100 subjects taking part in the study. Standard post operative care will be administered with the only difference in the two groups being the operative procedure (appendectomy or no appendectomy).

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Study Type : Interventional  (Clinical Trial)
Enrollment : 100 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: Single
Primary Purpose: Prevention
Official Title: A Randomized Controlled Trial Evaluating Appendectomy at the Time of Cesarean Section
Study Start Date : July 2002
Actual Study Completion Date : May 2006

Resource links provided by the National Library of Medicine

MedlinePlus related topics: Cesarean Section

Primary Outcome Measures :
  1. Post-operative wound infection

Secondary Outcome Measures :
  1. Post-operative fever
  2. Post-operative length of hospital stay
  3. Post-operative need for pain control

Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 45 Years   (Adult)
Sexes Eligible for Study:   Female
Accepts Healthy Volunteers:   Yes

Inclusion Criteria:

  • 18-45 years age
  • No previous appendectomy
  • Adequate pain control for cesarean section
  • Able to give informed consent

Exclusion Criteria:

  • Previous appendectomy

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its identifier (NCT number): NCT00371722

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United States, Tennessee
Erlanger Medical Center
Chattanooga, Tennessee, United States, 37403
Sponsors and Collaborators
Regional Obstetrical Consultants
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Principal Investigator: Charles D Adair, MD Regional Obstetrical Consultants; UT Chattanooga OB-GYN Department
Layout table for additonal information Identifier: NCT00371722    
Other Study ID Numbers: 02-052
First Posted: September 4, 2006    Key Record Dates
Last Update Posted: April 20, 2007
Last Verified: April 2007
Keywords provided by Regional Obstetrical Consultants:
Cesarean section