Same Day Ambulatory Appendectomy (SAMBA) (SAMBA)
Appendicitis
About this trial
This is an interventional treatment trial for Appendicitis
Eligibility Criteria
Inclusion Criteria: Patients aged 15-74 years BMI ≤ 30 kg/m2 Uncomplicated acute appendicitis confirmed by imaging (ultrasound and/or CT and/or MRI) Temperature ≤ 38,1°C and > 35,5°C Appendix diameter > 6mm and ≤ 15mm Without effusion or with only localized peri-appendicular effusion Infiltration of peri-appendicular fat without abscess or plastron No sign of perforation Leukocytes ≤ 15,000G/L AND CRP (C reactive protein) ≤ 50mg/L If pain, calmed by level 2 analgesic at maximum Ambulatory criteria Availability of monitoring by a relative during the 12 hours after discharge from the hospital Residence located less than 20 minutes by car from a health center (hospital or clinic) Access to a telephone mobile or fixed in case of problems Signature of the written informed consent form by the patient If the patient is a minor, signature of the written informed consent form by both parents or their legal representative Affiliation to a French health insurance scheme or equivalent Exclusion Criteria: Criteria that exclude ambulatory care such as an ASA score (Physical status score) > 2, severe or uncontrolled comorbidities, severe pulmonary disease including obstructive sleep apnea, anticoagulation or antiplatelet drug or contraindication to ambulatory surgery such as intubation difficulties Presence of active cancer, a malignant hemopathy, drug addiction, coagulopathy, immunosuppressive treatment Non-acute or interval appendectomy, i.e. after antibiotic treatment of a complicated appendicitis of the plastron or drainage of an appendicular abscess; History of pelvic surgery Vulnerable people: pregnant or breast-feeding women (patients will undergo a pregnancy test: plasmatic β-hCG (human chorionic gonadotropin) or urinary test), adult under guardianship or deprived of freedom. Pregnant women are considered to have a full stomach, with risk of inhalation at anesthetic induction and represent a contraindication to ambulatory surgery. In addition, the need to perform abdominal surgery on a pregnant woman requires obstetric monitoring that is difficult to reconcile with management in an outpatient surgery unit (need for obstetric ultrasound or monitoring). Suspicion of a tumor of the appendix : Mucocele and pseudomyxoma, Carcinoid tumor, Adenocarcinoma of the appendix, Another type of tumor
Sites / Locations
- CHU de NiceRecruiting
- CHU de Bordeaux
- CHU Grenoble AlpesRecruiting
- Hôpital Edouard HERRIOT
- CHU de Saint-Etienne - Hôpital Nord
- CH de Voiron
- APHM Hôpital Nord
- CHU Minjo
- CHU de Rennes
- Hôpital Robert Debré - CHU de Reims
- CHU Amiens-PicardieRecruiting
- Clinique de Saint-Omer
- HIA Percy
- APHP Pitié Salpetrière
- APHP Lariboisière
- Clinique de l'Estrée
- CH de Dax
- CH de Mont de Marsan
- CHU d'AngersRecruiting
- Hôpital d'Instruction des armées Laveran
- Hôpital d'Instruction des armées Sainte Anne - BCRM ToulonRecruiting
- Clinique du Val d'Ouest
- Hôpital Avicenne
- Hôpital Louis-Mourier
- Hia Begin
- CHU de La Réunion
- CHU de La Réunion
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Ambulatory pathway
Conventional hospitalisation