Comparison of Intracorporeal Knotting and Endoloop for Stump Closure in Laparoscopic Appendectomy

Bali, İlhan; Karateke, Faruk; Ozyazici, Sefa; Kuvvetli, Adnan; Oruç, Cem; Menekse, Ebru; Emir, Seyfi; Özdoğan, Mehmet

doi:10.5505/tjtes.2015.56798

Cited by 12 publications

(18 citation statements)

References 13 publications

(26 reference statements)

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“…In their study comparing single proximal endoloop and Hem-o-lock clips, Lucchi et al [12] found that patients in both groups experienced a similar length of hospital stay and the rate of infectious complications. Bali et al [16] compared the use of double intracorporeal knots and endoloops and found that the duration of operation was higher when the intracorporeal knot was used, but there was no difference in the rate of complications. In the study by Rossem et al [11] comparing the use of double proximal endoloops and endostaplers, no significant difference was observed between the two groups about duration of operation and infectious complications.…”

Section: Discussionmentioning

confidence: 99%

Comparison of methods for closure of appendix stump during laparoscopic appendectomy using endoloops: Single surgeon experience

Çelik¹

2019

Ulus Travma Acil Cerrahi Derg

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BACKGROUND: In this study, using single or double endoloops, with reference to the literature, we aimed to retrospectively assess the results for patients in our clinic who underwent a laparoscopic appendectomy. METHODS: This study included 251 patients who were operated on by a single surgeon; 137 of the patients were male (54.6%) and 114 were female (45.4%). Patients were divided into two groups based on the type of endoloop procedure that was used. Group 1 included 107 patients for whom a single endoloop was used. Group II included 144 patients for whom double endoloop was used. Age, sex, duration of operation, length of hospital stay, pathological findings, perioperative appendix findings, perioperative abdominal findings, post-operative complications requiring hospitalization and wound infections were assessed for each patient. Patients were also assessed statistically for complications. RESULTS: There were no significant differences in the demographic characteristics, perioperative surgery findings, pathological findings or duration of hospital stays between the two groups of the patients. However, the duration of operation was shorter in Group I (54.9±16.1 min) as compared to Group II (61.2±18.8 min). The incidence of complications requiring rehospitalization was statistically significantly lower in Group I (1.9%; n=2) as compared to Group II (9%; n=13) (p=0.018). There were no complications requiring reoperation for patients in Group I. In Group II, four patients (2.8%) required re-operation; however, this difference was not statistically significant. Concerning wound infection, there was also no significant difference between Group I (7.5% n=8) and Group II (4.9% n=7). CONCLUSION: Using a double endoloop does not decrease the risk of post-operative complications, but it does increase the cost and the duration of the operation. We have concluded that using a single endoloop in a laparoscopic appendectomy may be more appropriate.

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Section: Discussionmentioning

confidence: 99%

Comparison of methods for closure of appendix stump during laparoscopic appendectomy using endoloops: Single surgeon experience

Çelik¹

2019

Ulus Travma Acil Cerrahi Derg

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“…There is no difference in polymeric clips safety and complications in comparison with other techniques such as endo stapler, endo loop or suture knot (4,7,10,14,18,22). But it should be avoided in gangrened appendiceal base or wide base more than 10 mm.…”

Section: Metallic Clips 5 -20mentioning

confidence: 99%

“…Laparoscopic appendectomy (LA) was done by Semm in 1983 for the first time and nowadays, it is the choice and maybe the gold standard procedure in the presence of an experienced surgeon (2-6) LA especially is preferred in female, obese and old patients (2)(3)(4)(5)(6)(7).…”

Section: Introductionmentioning

confidence: 99%

“…Advantages of LA, include, shorter hospitalization, faster recovery, less postoperative pain, less analgesic necessity, less surgical site infection and better cosmetic results (2,3,5,(7)(8)(9)(10)(11)(12).…”

Section: Introductionmentioning

confidence: 99%

“…There are some methods for appendiceal stump closure, that all are safe, such as metallic clips (1,6,11,14,16,18,20,22), polymeric clips (Hem-o-lock) (4,8,10,14,18,22,23), endo loop (2,5,7,13,14,(16)(17)(18)(19)(21)(22)(23)(24)(25), endo stapler (5,8,11,13,(19)(20)(21)(22)24), intra corporeal knot (3,7,11,20,22) and bipolar and vessel sealing devices (15,22,26).…”

Section: Introductionmentioning

confidence: 99%

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Use of Polymeric Clip (Hem-O-Lock) for Appendiceal Stump Ligation as a Favorable Technique in Laparoscopic Appendectomy

Kermansaravi

Darabi

Eghbali

et al. 2017

J Minim Invasive Surg Sci

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Background: Laparoscopic appendectomy (LA) has become the standard choice for acute appendicitis. Several techniques to close the appendiceal stump were investigated, and use of polymeric clips, are shown safe and cost effective. Objectives: Evaluation of the efficacy and safety of appendiceal stump closure with polymeric clips in LA. Methods: This is a retrospective cohort study included 35 patients who underwent LA, between April 2013 and August 2016 in Rasoole-Akram university hospital. appendiceal stumps ligation were performed by polymeric clips. One month follow up after surgery was performed for all patients. Demographic information of patinets, surgery, complications, readmission and pathological reports, were collected from medical records and data base. Results: Thirty-five patients were included in this retrospective study. Nineteen patients were male and 16 patients were female

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Appendiceal stump closure in laparoscopic appendectomy: one endoloop vs. two endoloops vs. two endoclips—does it matter?

Yaron,

Hagai,

Nayyera

et al. 2023

Langenbecks Arch Surg

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Comparison of Intracorporeal Knotting and Endoloop for Stump Closure in Laparoscopic Appendectomy

Cited by 12 publications

References 13 publications

Comparison of methods for closure of appendix stump during laparoscopic appendectomy using endoloops: Single surgeon experience

Comparison of methods for closure of appendix stump during laparoscopic appendectomy using endoloops: Single surgeon experience

Use of Polymeric Clip (Hem-O-Lock) for Appendiceal Stump Ligation as a Favorable Technique in Laparoscopic Appendectomy

Appendiceal stump closure in laparoscopic appendectomy: one endoloop vs. two endoloops vs. two endoclips—does it matter?

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