Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy
Youssef Mohammed, M., Ibrahim, S., ibrahim, I., mogahed, M. (2023). Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy. EKB Journal Management System, 29(1.2), 276-282. doi: 10.21608/zumj.2020.45696.1965
Mohammed Youssef Mohammed; Samir Ibrahim; islam mohamed ibrahim; mohammad Farouk mogahed. "Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy". EKB Journal Management System, 29, 1.2, 2023, 276-282. doi: 10.21608/zumj.2020.45696.1965
Youssef Mohammed, M., Ibrahim, S., ibrahim, I., mogahed, M. (2023). 'Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy', EKB Journal Management System, 29(1.2), pp. 276-282. doi: 10.21608/zumj.2020.45696.1965
Youssef Mohammed, M., Ibrahim, S., ibrahim, I., mogahed, M. Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy. EKB Journal Management System, 2023; 29(1.2): 276-282. doi: 10.21608/zumj.2020.45696.1965

Different Options for Closure of Appendicular Stump in Laparoscopic Appendectomy

Zagazig University Medical Journal
Article 594, Volume 29, Issue 1.2, January 2023, Page 276-282  XML PDF (468.75 K)
Document Type: Original Article
DOI: 10.21608/zumj.2020.45696.1965
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Authors
Mohammed Youssef Mohammed email orcid 1; Samir Ibrahimorcid 2; islam mohamed ibrahim3; mohammad Farouk mogahed4
1General Surgery Department , Faculty of Medicine , Zagazig University , Egypt
2Department of General Surgery, Faculty of Medicine, Zagazig University
3general surgery department ,faculty of medicine,zagazig university,zagazig, egypt
4general surgery faculty of medicine zagazig university
Abstract
Background:The commonest cause of acute abdomen requiring surgical intervention is acute appendicitis. The classical incision used for appendectomy was Grid iron incision pioneered by McBurny in the 19th century. Laparoscopy had invaded most of the fields of surgery including emergency surgery. Various techniques have been used for securing the appendicular stump, some of which is expensive as endoscopic linear cutting stapler; others are not available in some hospitals as preformed suture loops (endoloops).
Aim:to compare between ligation methods (Intracorporeal, Extra-corporeal or Endoloop ligation) and clip application with their different types (polymeric or titanium) for securing the appendicular stump at Zagazig university hospitals
Methods:90 patients were included in this randomized prospective clinical trial study. The patients were randomly distributed into 2 main groups (A&B): Group A: Ligation Group (54). Group B: Clipping Group (36). Then each group was further subdivided into subgroups.
Results:Intra-operative complications was bleeding in 2 cases of ligation group (A) and 2 cases of clipping group (B) was complicated by intestinal injury and bleeding. Two cases in clipping group (B) converted to ligation methods due to very wide base in which the stump was not secured well with clip application.
Conclusion:All techniques of ligation and clipping were feasible, safe and effective, with the same rate of complications; the only difference was regarding operative time as ligation techniques consume more time.
Keywords
laparoscopic appendectomy; clipping vs ligation; appendectomy stump closure
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