Overview
The purpose of this study is to asses whether the pressure used for the pneumoperitoneum during laparoscopic surgery in children affects their postoperative pain levels.
Eligibility
Inclusion Criteria:
- Prepped and consented for diagnostic laparoscopy for likely acute appendicitis
- 5 years or older
- 15 kg or more
- Parents/legal custodian give consent, patient shows no signs of unwillingness to participate
- Patient is hemodynamically stable
Exclusion Criteria:
- Clinical signs of four quadrant peritonitis as a clinical sign of perforated appendicitis
- Suspected perityphlitic abscess on preoperative ultrasound
- Preexisting conditions making postoperative assessment of extent of pain and its localization very difficult or impossible, e.g. conditions that are associated with pronounced developmental delays or with communication difficulties
- Parents have inadequate knowledge of German language to understand Informed consent
- Child has inadequate knowledge of German language to allow elicitation of Pain Scores