Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy

Delibegović, Samir; Matovic, Ervin

doi:10.1007/s00464-009-0493-4

Cited by 76 publications

(91 citation statements)

References 13 publications

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“…In addition, Korndorffer (8) and Reiertsen (9) reported lower misdiagnosis rates, decreased analgesic need, and less wound infection with LA. However, LA does have some drawbacks, such as in- creased rate of intraabdominal abscess and the requirement for costly instruments, such as endostaplers, endoclips, and endoloops (10)(11)(12)(13)(14)(15). In the present study, we aimed to decrease the costs associated with LA by using intracorporeal knotting and glove-endoloop.…”

Section: Discussionmentioning

confidence: 99%

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Aziret¹,

Çetinkünar²,

Erdem³

et al. 2017

Turk J Surg

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INTRODUCTIONAcute appendicitis is one of the most common causes of acute abdomen in all ages. It occurs more frequently in men than in women (male/female: 1.3/1); the mean and median ages related to this pathology are 31.3 and 22 years, respectively (1-3). Open appendectomy (OA), which was first described by McBurney (4) in 1894, is the most frequently performed emergency abdominal operation in the world. However, the use of the laparoscopic appendectomy (LA) procedure has rapidly increased since it was first described by Semm in 1984 (5). Although LA is commonly performed for acute appendicitis, it is not always the best treatment choice. Many studies comparing LA and OA with respect to treatment and follow-up have been conducted. These studies have reported less postoperative surgical-site infection, decreased need for analgesics, much greater visualization, rapid healing, shorter hospital stay times, and earlier return to normal activity (RTNA) rates associated with LA (6-10). However, because of the high costs related to endostaplers, endoclips, and knottings, LA is not the most efficient operation technique (11, 12).Our aim in this study is to prospectively compare OA and LA performed with laparoscopic intracorporeal knotting and glove endobag; we also wish to demonstrate that the latter is a facile and effective alternative LA procedure. MATERIAL AND METHODS Methodology and EthicsThis study was conducted in the Surgery Department at Kars Harakani State Hospital during the period from May 2014 to April 2015. A total of 72 patients who were treated for acute appendicitis were eligible for the study. These 72 patients were divided into two groups: the LA group (group 1) (n=36) and the OA group (group 2) (n=36). All the patients were evaluated in terms of age; gender; perioperative symptoms Objective: Despite the recent increase in the use of laparoscopic appendectomy procedures to treat acute appendicitis, laparoscopic appendectomy is not necessarily the best treatment modality. The aim of this study is to examine the value of laparoscopic intracorporeal knotting and glove endobag in terms of various parameters and in terms of reducing the costs related to laparoscopic appendectomy procedures.Material and Methods: Seventy-two acute appendicitis patients who underwent laparoscopic appendectomy and open appendectomy surgery were enrolled in the study and were evaluated prospectively. The patients were divided into two groups: group 1 was treated with laparoscopic appendectomy using laparoscopic intracorpreal knotting and glove endobag (n=36) and group 2 was treated with open appendectomy (n=36). The two groups were statistically compared in terms of preoperative symptoms and signs, laboratory and imaging findings, operation time and technique, pain score, gas and stool outputs, duration of hospital stay, return to normal activity, and complications. Results:No statistically significant differences were found between the groups in relation to gender, age, body mass index, or pre-operation findings, which include...

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Section: Discussionmentioning

confidence: 99%

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Aziret¹,

Çetinkünar²,

Erdem³

et al. 2017

Turk J Surg

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“…According to our experiences and previous reports, [3][4][5][6] the better ergonomics and cosmetic results are advantages of placement of two ports in suprapubic area and transferring the laparoscope to the left suprapubic port in comparison to standard port position. The feasibility of application, shorter time of operation and lower cost of Hem-o-lok clips are advantages of this technique for ligation of appendiceal stump in comparison to the standard endoloop ligature.…”

Section: Resultsmentioning

confidence: 58%

“…The successful uses of Hem-o-lok clips, which are nonabsorbable polymer clips, have been shown in different procedures. [5][6][7] Design of its applier markedly decreases the chance of possible fall out of the clip (Fig. 3), and operative time is shorter in relation to application of the endoloop.…”

Section: Discussionmentioning

confidence: 99%

“…The cost of Hem-o-lok clips is lower than endoscopic staplers and endoloop ligatures. 5 Moreover, its application is easy. Some technical points must be considered during the application of Hem-o-lok clip.…”

Section: Discussionmentioning

confidence: 99%

“…But this is a more expensive method for closure of the stump of the appendix, which is particularly important in developing countries. 5,6 In this report, we described our technique regarding configuration of ports and control of base of appendix during laparoscopic appendectomy.…”

Section: Introductionmentioning

confidence: 99%

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Technical Modifications in Laparoscopic Appendectomy

Aminian¹,

Karimian²,

Toolabi³

et al. 2011

WJOLS

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The technique of laparoscopic appendectomy has been modified several times in the past 20 years. In this report, we have described our modifications regarding the position of ports placement and closure of the base of appendix. Three surgeons successfully performed laparoscopic appendectomy in 108 cases with these modifications during the 3-year period. The first 10 mm port is placed in the periumbilical region. The second 10 mm and third 5 mm ports are inserted in the left and right side of abdomen below the pubic hairline respectively. Then the telescope is transferred from the periumbilical to the left suprapubic port. This mode of access leads to optimal ergonomics and cosmesis. For securing the base of appendix, only one Hem-o-lok clip (nonabsorbable polymer clip) is applied on each side. The use of Hem-o-lok clip is simple, safe and decreases the time and cost of laparoscopic appendectomy.

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Appendix stump closure during laparoscopic appendectomy

Cheng

Zhang

et al. 2012

Cochrane Database of Systematic Reviews

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Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy

Abstract: The simplicity of application, shorter time of operation, and lower cost of hem-o-lok clips are advantages of this way of securing of the base of the appendix in relation to the standard endoloop procedure.

Cited by 76 publications

References 13 publications

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Comparison of open appendectomy and laparoscopic appendectomy with laparoscopic intracorporeal knotting and glove endobag techniques: A prospective observational study

Technical Modifications in Laparoscopic Appendectomy

Appendix stump closure during laparoscopic appendectomy

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