title: A comparison of nonabsorbable polymeric clips and endoloop ligatures for the closure of the appendicular stump in laparoscopic appendectomy: a prospective, randomized study.
abstract: The aim of this prospective randomized trial was to evaluate the clinical outcomes of hem-o-lok ligation system in laparoscopic appendix stump closure by comparing the endoloop ligature. A total of 53 patients were evaluated in this study (n=26 and 27 for hem-o-lok and endoloop groups, respectively). The mean operation time were shorter in hem-o-lok group than endoloop group (64.7 ± 19.2 vs. 75.4 ± 23, respectively); however, the difference was not significant. Other surgical findings were similar. There was no statistically significant difference in overall nonsurgically or surgically related complications. The mean postoperative hospitalization time was also similar in both groups. Although it is not possible to make general conclusions on basis of such a limited study, in our opinion, closure of the appendix stump with polymeric nonabsorbable clips in laparoscopic appendectomy may be a cheaper and simpler alternative to other widely used methods.
authors.affiliation: Department of General Surgery, Samsun Education and Research Hospital, Samsun, Turkey.
authors.forename: Elif
authors.initials: E
authors.lastname: Colak
authors.forename: Metin
authors.initials: M
authors.lastname: Kement
authors.forename: Nuraydin
authors.initials: N
authors.lastname: Ozlem
authors.forename: Tahir
authors.initials: T
authors.lastname: Mutlu
authors.forename: Kadir
authors.initials: K
authors.lastname: Yildirim
authors.forename: Ahmet
authors.initials: A
authors.lastname: Gurer
authors.forename: Recep
authors.initials: R
authors.lastname: Aktimur
mesh_terms: D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D001065:Appendix / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008026:Ligation / Q000295:instrumentation; D008297:Male; D011108:Polymers; D011446:Prospective Studies; D013525:Surgical Instruments; D013536:Suture Techniques / Q000295:instrumentation*; D013537:Sutures; D016896:Treatment Outcome
chemical_list: D011108:Polymers