Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump

Abstract

The use of a single non-absorbable polymeric clip is easy to use even for surgical trainees; it is safe and cost-effective. We suggest the use of a single clip for the closure of the appendicular stump as the standard procedure in laparoscopic appendectomy whenever possible.

Comparison of Stump Closure Techniques of the Base of the Appendix in Laparoscopic Appendectomy

“…[8] Closure of the stump of the appendix with a stapler is a simple but more expensive method when compared with others. [19], [20], [21], [22] Closure with endoloop is a common way and has a lower cost than a stapler. [19] Our study compared 30 cases each of endoloop and intracorporeal transfixation method for ligation of base of appendix in laparoscopic appendectomy to evaluate outcome of various parameters.…”

The Safety And Efficacy Of Different Methods Used For The Closure Of The Appendiceal Stump (CAS) İn Laparoscopic Appendectomy

“…But every technique has its own benefits and handicaps. [5,[17][18][19][20][21] For example use of endo-loop for CAS in some cases may prolong the surgery time due to the need for an experience for the application and alignment of the loop. [22] The titanium clips that may be used also has a risk of displacement during the manipulations in the laparoscopy.…”

“…[23] The non-absorbable polymer hem-o-lok clips; that were popularised, widely and safely used by the urologists in the nefrectomies, has also been used in the LA surgeries. [7,18,22,24] There are no Hem-olok clip failures in the literature, when the Federal Drug Administration's (FDA) databases are searched. [25] Also the recent studies cunducted that compared; the metal clips, hem-o-lok clips and endoloop ligatures demonstrated similar surgically related complication rates suggesting all of them as safe, feasible and cost-effective techniques for the CAS.…”

Laparoskopik Apendektomide Manuel Dugumun Etkinligi

“…Bunlar hem pratik hem de maliyet olarak çok yüksek değildir. Fakat apendiks güdüğünün çapının 1 cmyi aştığı inflame apendisit olgularında bu klipslerin apendiks güdüğünü kapatması güçleşmektedir (5,6).…”