title: A comparison of polymer clips and endoloop applications for securing the appendiceal stump during laparoscopic surgery in children.
abstract: BACKGROUND
  In this study, for the first time in children a polymer clip and endoloop (EL) for securing an appendiceal stump have been prospectively correlated and evaluated radiologically.
  
  
  METHODS
  Forty-nine patients aged 1 to 15 years were operated upon by the same surgeon for acute or perforated appendicitis between May 2008 and May 2009. The appendiceal stump was ligated by an EL or polymer clip. Patients were radiologically evaluated during the postoperative period.
  
  
  RESULTS
  In the EL group, the mean operating time for perforated appendicitis was recorded as 57.40 minutes and in nonperforated appendicitis as 39.37 minutes, respectively. In the clips-applied group, these periods were 48.23 and 34.72 minutes, respectively. Clip application is 3 times cheaper than EL.
  
  
  CONCLUSIONS
  Polymer clip is an instrument that is cheaper, safe, easily applicable, and takes less time for securing appendiceal stumps compared with EL.
authors: Diskapi Children's Educating and Research Hospital, Clinic of Pediatric Surgery, Ankara, Turkey. akbiyik@isbank.net.tr
authors: Fatih
authors: F
authors: Akbiyik
authors: Emrah
authors: E
authors: Senel
authors: Gülşah
authors: G
authors: Bayram-Kabacam
authors: Hasan
authors: H
authors: Demirkan
authors: Halil
authors: H
authors: Atayurt
authors: Tuğrul
authors: T
authors: Tiryaki
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000000981:diagnostic imaging / Q000601:surgery*; D002648:Child; D002675:Child, Preschool; D004867:Equipment Design; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D007432:Intraoperative Period; D010535:Laparoscopy; D008297:Male; D011108:Polymers; D011446:Prospective Studies; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome; D014463:Ultrasonography
chemical_list: D011108:Polymers