scholarly journals A Comparison of Hem-o-lok® and ENDOLOOP® for Ligation of Appendicular Stump in Improving Outcomes of Laparoscopic Appendicectomy

2021 ◽  
Vol 10 (4) ◽  
pp. 207-211
Author(s):  
Sivamarieswaran R. ◽  
Aravindan S.P ◽  
Mahadevan D.S.A. ◽  
Vidyalakshmi T.
Keyword(s):  
Laparoscopic Appendicectomy ◽  
Appendicular Stump

scholarly journals Two-port vs. conventional (three-port) laparoscopic appendicectomy: a new technique in laparoscopic appendicectomy

2015 ◽  
Vol 1 (5) ◽  
pp. 215
Author(s):  
Hemant P. Mhatre ◽  
Vijay B. Kanake ◽  
Vipul V. Nandu
Keyword(s):  
Iliac Fossa ◽  
Length Of Hospital Stay ◽  
Laparoscopic Group ◽  
Study Data ◽  
Laparoscopic Appendicectomy ◽  
Complication Rates ◽  
Camera Port ◽  
A New Technique ◽  
Appendicular Stump ◽  
The Right

<p class="abstract"><strong><span lang="EN-US">Background: </span></strong>Three-port laparoscopic appendicectomy has proven its worth in the management of appendicitis. From a cosmesis, the umbilical and suprapubic portsites are hidden by natural camouflages, the Right Iliac Fossa (RIF) port is the only visible external sign of surgery. The two-port technique avoids even this marker of abdominal invasion.  </p><p class="abstract"><strong><span lang="EN-US">Methods: </span></strong>58 patients were studied for this study. Data was collected prospectively. The two port appendicectomy was performed with 10 mm umbilical working port and 5 mm supra-pubic camera port. A stitch was taken transparietaly in RIF which was under camera guidance passed through the tip of appendix and held with suture to retract the appendix. The base was ligated with an intra-corporeal knot and appendix cut and delivered out. Three port appendicectomy was performed via the 10 mm umbilical, 5 mm supra-pubic and 5mm right iliac fossa ports. The appendicular stump was ligated with an endoloop or an intra-corporeal knot, appendix cut and delivered out</p><p class="abstract"><strong><span lang="EN-US">Results:</span></strong><span lang="EN-US"> 58 patients underwent surgery over the one year period for appendicitis. Out of 26 cases attempted, the two port appendicectomy was successful in 21 cases, with conversion to the three-port technique in 4 and conversion to open in 1 case. The complication rates, return to work were comparable between the two groups. Duration of operation was more whereas length of hospital stay was less in two port appendicectomy group as compared to conventional laparoscopic group.</span></p><p class="abstract"><strong><span lang="EN-US">Conclusions: </span></strong>Patients who underwent two port appendicectomy had a cosmetically better appearing scar than compared to three port appendicectomy cases.</p>

scholarly journals LAPAROSCOPIC APPENDICECTOMY

2011 ◽  
Vol 18 (02) ◽  
pp. 233-236
Author(s):  
NAVEED JABBAR ◽  
M. ZAFAR KHAN ◽  
AFTAB AHMED CH.
Keyword(s):  
Surgical Site Infection ◽  
Cost Effective ◽  
Laparoscopic Appendicectomy ◽  
High Tech ◽  
Site Infection ◽  
Cost Effective Method ◽  
Stump Closure ◽  
Appendiceal Stump ◽  
Appendicular Stump ◽  
Discharge From Hospital

Objective: An inadequate closure of the appendix stump leads to intra-abdominal surgical site infection. Many studies show that the use of costly high tech instruments such as Endo-loops, Endo-GIA for transaction and closure of the appendiceal stump lowers the risk of infection. The Aim of this study was to evaluate the use of clips for closure of appendix stump as a safe and cost-effective method. Study Design: Descriptive Study. Period: Oct 2009 to Jun 2010. Setting: Shalamar Hospital, Lahore. Materials and Methods: Over a period of 9 months 36 patients were selected to have laparoscopic appendicectomy. All patients had stump closure by clips as used for cystic duct and cystic artery in laparoscopic cholecystectomy. No patient had Endo-loop or Endo-GIA for closure of stump. All patients had follow-up at one week and six weeks after discharge from hospital. Results: There was no clinical evidence of surgical site infection or leak from appendicular stump by this method. There was no discomfort in handling this instrument both for surgeon and scrub nurse. The price of the clips used was 4.30 Euros as compared to 112.00 and 232.77 Euros for the Endo-loops and Endo-GIA respectively. Conclusions: This study shows that clips can be used for stump closure without any additional risk to patient. It is also cost- effective. So appendiceal stump closure using clips is very convenient, an easy, safe, and cost-effective procedure.

scholarly journals Evaluation of Handmade Extra-Corporeal Loop versus Metallic Clips in Securing the Appendicular Stump in Laparoscopic Appendicectomy

OALib ◽  
2016 ◽  
Vol 03 (10) ◽  
pp. 1-9
Author(s):  
Mohamed Yousef A. ◽  
Abdallah M. Taha ◽  
Asmaa Gaber R. ◽  
Mahmoud Abdelhameid ◽  
Mohammed A. Omar ◽  
...  
Keyword(s):  
Laparoscopic Appendicectomy ◽  
Appendicular Stump

SP3.1.12 A Comparison of Polymeric Clips vs Endoloops to Secure Appendicular Stump in Adult Emergency Laparoscopic Appendicectomy

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
James Chean Khun Ng ◽  
Zubair Khanzada ◽  
Ju Lyn Lim ◽  
Melody Lee ◽  
Ahmed M El-Sharkawy ◽  
...  
Keyword(s):  
Operative Time ◽  
Operating Time ◽  
Laparoscopic Appendicectomy ◽  
Complication Rates ◽  
Inclusion Criteria ◽  
Safe Alternative ◽  
Patient Demographics ◽  
Appendicular Stump ◽  
Titanium Clips ◽  
Operating Surgeon

Abstract Aims To assess the use of polymeric clips (PC) as an alternative to Endoloops (EL) to secure appendicular stump in adult emergency laparoscopic appendicectomy. Method A retrospective analysis of all patients who underwent emergency laparoscopic appendicectomy from 1/11/19 to 31/10/20, following introduction of polymeric clips in our institute as a safe alternative to endoloops to secure appendicular stump in October 2019. Patient demographics, operative duration, intraoperative findings, methods to control the appendicular mesentery and stump, post-operative length of stay, complications and grade of operating surgeon were compared in both groups (PCvsEL) and data analysed using SPSS. Results A total of 333 patients were included, who underwent laparoscopic appendicectomy and satisfied the inclusion criteria. PC were used in 160 (48%) patients and EL in 173 (52%). Patient demographics, surgeon grade and intra-operative severity of disease were statistically similar between both groups. Mean operative time was 10 minutes shorter in PC group (71 vs 81minutes, p = 0.001). Mesoappendix was ligated by applying laparoscopic titanium clips in EL group 25%, vs 6% PC group (p &lt; 0.001), while 42% of the PC group, used PC on mesoappendix, which was without any additional cost. Post-operative complication rates were similar in both groups, apart from post-operative ileus, which was more in EL group (p = 0.003). Conclusion The use of PC in emergency laparoscopic appendicectomy is a safe and effective way to secure the appendicular stump, which results in, not only reduced operating time, but also a significant cost saving (£49/3x Endoloops vs £21/pack of 6x Polymeric clips) to NHS.

Is the use of endoloops safe and efficient for the closure of the appendicular stump in complicated and uncomplicated acute appendicitis?

2021 ◽  
Author(s):  
Virginia Durán Muñoz-Cruzado ◽  
Gregorio Anguiano-Diaz ◽  
Luis Tallón Aguilar ◽  
José Tinoco González ◽  
Alejandro Sánchez Arteaga ◽  
...  
Keyword(s):  
Acute Appendicitis ◽  
Appendicular Stump ◽  
Uncomplicated Acute Appendicitis
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