Introduction: Laparoscopic appendicectomy has gained popularity
due to the advantages of minimal-access surgery. Inadequate closure of the
appendix stump leads to intra-abdominal surgical site infection or even fecal
fistula. The base of the appendix can be secured with endostapler, endoloops,
metallic clips or intracorporeal ligature. Aim:Toevaluate the handmade extra-corporeal loop versus endoclip in securing the base of
the appendix in non-complicated acute appendicitis. Methods:During the period from April 2014 to
February 2016, in South Valley University, Aswan University and Sohag
University hospitals (these are tertiary hospitals), 400 laparoscopic appendicectomy
patients were included in this prospective study. In total, 240 patients were
female and the overall average age was 25.6 years old. Patients were divided into two equal groups (group
L and group C): in group L, handmade extracorporeal loop was used to secure the
base of the appendix, the metallic clip was used in group C. Results: The mean operative time was 49
min in group L and 35.4 min in group C (P < 0.05). The mean hospital stay
was 2.07 days in group L and 2 days in group C, and this was not significant (P
> 0.05). Complications
varied between port- site
wound infection and delayed intestinal sounds, fecal fistula and there were no
statistically significant differences. Conclusion: Using extracorporeal handmade loop or the metallic
clips to secure the appendicular stump is safe, feasible, easy and inexpensive
methods. The loop takes a little more time in its preparation. Metallic clips are inappropriate for edematous
wide base appendix.
Cite this paper
A., M. Y. , Taha, A. M. , R., A. G. , Abdelhameid, M. , Omar, M. A. and Abdelshafy, M. (2016). Evaluation of Handmade Extra-Corporeal Loop versus Metallic Clips in Securing the Appendicular Stump in Laparoscopic Appendicectomy. Open Access Library Journal, 3, e3117. doi: http://dx.doi.org/10.4236/oalib.1103117.
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