World Journal of Laparoscopic Surgery

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VOLUME 12 , ISSUE 2 ( May-August, 2019 ) > List of Articles

Original Article

Appendicular Stump Closure by Polymer Clip vs Endoloop in Laparoscopic Appendectomy

Vishal P Bhabhor

Keywords : Ease of application, Endoloop, Polymer clip,Appendectomy

Citation Information : Bhabhor VP. Appendicular Stump Closure by Polymer Clip vs Endoloop in Laparoscopic Appendectomy. World J Lap Surg 2019; 12 (2):64-67.

DOI: 10.5005/jp-journals-10033-1374

License: CC BY-NC 4.0

Published Online: 00-08-2019

Copyright Statement:  Copyright © 2019; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Introduction: Several techniques are used to close the appendicular stump during laparoscopic appendectomy. This is especially important in developing countries where resources for training with endoloop are insufficient, and the simplicity of application of polymer clips can enable easy acceptance of laparoscopic appendectomy as a method in the treatment of acute appendicitis. Aim: The aim of the study was to compare results of appendicular stump closure by polymer clip and endoloop with reference to • Days of hospitalization, • Infection rate, and • Ease of application Materials and methods: This is a prospective study of 70 cases of laparoscopic appendectomy operated in the Department of General Surgery, SSG Hospital, Vadodara, from October 2016 to October 2017 (35 patients in each group i.e., polymer clip application group and endoloop application group). Operative data were recorded, and the patients were followed up accordingly. Independent assessors were assigned to obtain days of hospitalization, infection rate, ease of application, and other secondary outcomes. Results: It is more feasible for surgeons to use polymer clip than endoloop to close appendicular stump as per the surgeon\'s opinion taken after each surgery. However, days of hospitalization and postoperative complication rates were not statistically significant in both groups. Conclusion: Closure of appendix stump with a polymer clip is a simple and safe method in laparoscopic appendectomy and is comparable with other methods of appendicular stump closure.


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  1. Tiwari MM, Reynoso JF, Tsang AW, et al. Comparison of outcomes of laparoscopic appendectomy in management of uncomplicated and complicated appendicitis. Ann Surg 2011;254(6):927–932. DOI: 10.1097/SLA.0b013e31822aa8ea.
  2. Strzalka M, Matyja M, Rembiasz K. Comparison of the results of laparoscopic appendectomies with application of different techniques for closure of the appendicular stump. World J Emerg Surg 2016;11:4. DOI: 10.1186/s13017-015-0060-3.
  3. Delibegovic S, Matovic E. Hem-O-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy. Surg Endosc 2009;23(12):2851-2854. DOI: 10.1007/s00464-009- 0493-4.
  4. Partecke LI, Kessler W, Patrzyk M, et al. Comparison among different closure during laparoscopic appendectomy. Surg Technol Int 2011;21:85–91.
  5. Polat Y, Kinaci E. Comparison of intra corporeal knot-tying suture and hem-o-lok clip for closure of appendix stump in laparoscopic appendectomy: a retrospective study. Firat Tip Derg/Firat Med J 2015;20(2):107–109.
  6. Şimşek O, Bilgin IA, Uludag S, et al. Comparison of endo-loop and polymer locking clip in ligating appendiceal stump during laparoscopic appendectomy. Eur J Endosc Laparosc Surg 2014;1(3):124–127.
  7. Fischer JE, Mcdermott WV, Holmes CR, et al. Fischer's mastery of surgery. 6th ed., Wolters Kluwer; 2012. pp. 280–282.
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