Purse‐string suture after ligating by endoloop for closing of the appendiceal stump is an alternative for endostapler in selected cases: A propensity score‐matched study

2021 ◽  
Author(s):  
Shuji Okamoto ◽  
Yasunori Otowa ◽  
Ryosuke Fujinaka ◽  
Keisuke Arai ◽  
Koichi Murata ◽  
...  
Keyword(s):  
Propensity Score ◽  
Purse String Suture ◽  
Purse String ◽  
Appendiceal Stump ◽  
Matched Study

scholarly journals Comparison of Stump Burying using Laparoscopic and Open Methods in Complicated Acute Appendicitis

2020 ◽  
Author(s):  
Sina Ferahman ◽  
Turgut Dönmez ◽  
Serhan Yılmaz ◽  
Sezer Akbulut ◽  
Ahmet Sürek ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Hospital Stay ◽  
Surgical Complications ◽  
Open Appendectomy ◽  
Surgical Techniques ◽  
Laparoscopic Technique ◽  
Purse String Suture ◽  
Purse String ◽  
Appendiceal Stump ◽  
Complicated Acute Appendicitis

Objective: The choice of laparoscopic technique in the treatment of complicated acute appendicitis (CAA) harbours debatable evidence because of higher rates of surgical complications such as postoperative intraabdominal abscess (POIIA). The aim of this study is to compare postoperative results of appendiceal stump (AS) ligation and its burial into the cecum using laparoscopic or open surgical techniques in patients with CAA. Method: This is a single-center and retrospective analysis of patients with CAA operated between May 2018 and April 2020. AS was intracorporeally knotted with silk and buried in the cecum with a purse-string suture (PSS). The patients were divided into open appendectomy (OA) and laparoscopic appendectomy (LA) groups. Data concerning demographic characteristics, intraoperative variables, hospital stay, surgical complications, morbidities, and postoperative findings were compared. Results: A total of 66 patients including 36 patients (54.54%) underwent LA and 30 patients had OA were enrolled in the study. Partial resection of cecum was performed in one patient in the OA group and two patients in the LA group with the help of a stapler due to cecal floor necrosis. The operative time and duration of hospital stay were significantly shorter in the LA group compared to the OA group. Surgical site infection and POIAA were significantlymore frequent in the OA group (p<0.001). Conclusion: In acute complicated appendicitis, laparoscopic method can be applied as an effective method by closing the appendiceal stump and burying into the cecum with a purse-string suture.

Appendiceal stump inversion with a purse-string suture in laparoscopic appendectomy

2017 ◽  
Vol 2 ◽  
pp. 76-76 ◽  
Author(s):  
Toru Zuiki ◽  
Jun Ohki ◽  
Yuzo Miyahara ◽  
Yoshinori Hosoya ◽  
Alan Kawarai Lefor
Keyword(s):  
Laparoscopic Appendectomy ◽  
Purse String Suture ◽  
Purse String ◽  
Appendiceal Stump

scholarly journals Distal purse-string suture technique for TaTME

2018 ◽  
Vol 23 (1) ◽  
pp. 67-68 ◽  
Author(s):  
R. Wu ◽  
R. Benedict ◽  
A. Caycedo-Marulanda
Keyword(s):  
Suture Technique ◽  
Purse String Suture ◽  
Purse String
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