title: Laparoscopic appendectomy with hand-made loop.
abstract: BACKGROUND
  Acute appendicitis is the most common abdominal pathology requiring emergent surgical procedure. For treatment, laparoscopic surgery is commonly performed. For appendix stump closure different procedures are used.
  
  
  OBJECTIVE
  Evaluation of the results of patients in whom the stump of the appendix was closed with a hand-made loop during laparoscopic appendectomy (LA).
  
  
  METHODS
  Patients in whom the stump of the appendix was closed with a hand-made loop during LA were included in the study. Reports of patients were collected from patient files retrospectively. Laparoscopic appendectomy was applied through 3 ports. Two loops were placed in the stump of the appendix. Loop was a modification of the Roeder loop that has been described in the literature and has been shown to be safe.
  
  
  RESULTS
  Sixty-one patients were included in the study. Twenty-four of them (39%) were female, 37 of them (61%) were male. The age range is from 13 to 60 (average age is 30) years. During the postoperative period, one surgical wound infection and two intraabdominal abscesses were detected. There was no leakage from the stump of the appendix in any patients.
  
  
  CONCLUSIONS
  One of the most important components of cost of LA is the technique of closure of the stump. Stapler, endoloop, various clips or a hand-made loop could be used for closure. We recommend using a hand-made loop for closure as an easy, safe and cheap method.
authors.affiliation: Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Burhan
authors.initials: B
authors.lastname: Mayir
authors.affiliation: Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Tuna
authors.initials: T
authors.lastname: Bilecik
authors.affiliation: Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Cemal Ozben
authors.initials: CO
authors.lastname: Ensari
authors.affiliation: Department of General Surgery, Antalya Training and Research Hospital, Antalya, Turkey.
authors.forename: Mehmet Tahir
authors.initials: MT
authors.lastname: Oruc
keywords: acute appendicitis; hand-made loop; laparoscopic appendectomy
references.citation: J Korean Soc Coloproctol. 2011 Dec;27(6):293-7
references.pmid: 22259744
references.citation: Surg Endosc. 2007 Oct;21(10):1764-7
references.pmid: 17353987
references.citation: Surg Laparosc Endosc Percutan Tech. 2012 Feb;22(1):1-4
references.pmid: 22318050
references.citation: Langenbecks Arch Surg. 2010 Nov;395(8):1077-82
references.pmid: 20577759
references.citation: Ann Surg. 2006 Jan;243(1):17-27
references.pmid: 16371732
references.citation: Ann Surg. 2005 Sep;242(3):439-48; discussion 448-50
references.pmid: 16135930
references.citation: Ann Surg. 2004 Jan;239(1):43-52
references.pmid: 14685099
references.citation: Saudi Med J. 2009 Feb;30(2):224-7
references.pmid: 19198710
references.citation: Am Surg. 1998 Mar;64(3):231-3
references.pmid: 9520812
references.citation: World J Gastroenterol. 2008 Aug 21;14(31):4909-14
references.pmid: 18756599
references.citation: Surg Endosc. 1994 Nov;8(11):1285-91
references.pmid: 7831597
references.citation: J Gastrointest Surg. 1997 Mar-Apr;1(2):188-92; discussion 192-3
references.pmid: 9834347
references.citation: Surg Technol Int. 2011 Dec;21:85-91
references.pmid: 22504974
references.citation: Langenbecks Arch Surg. 2012 Feb;397(2):327-31
references.pmid: 22081240
references.citation: Wideochir Inne Tech Maloinwazyjne. 2013 Sep;8(3):226-31
references.pmid: 24130637
references.citation: Wideochir Inne Tech Maloinwazyjne. 2013 Dec;8(4):310-4
references.pmid: 24501600
references.citation: J Surg Res. 2011 Dec;171(2):e161-8
references.pmid: 21962815
references.citation: Wideochir Inne Tech Maloinwazyjne. 2013 Mar;8(1):69-73
references.pmid: 23630557