title: The feasibility of bipolar tissue sealer for appendix stump closure.
abstract: BACKGROUND
  Appendiceal stump closure is a highly important step in laparoscopic appendectomy, especially for post-operative complications. The aim of this study is to compare the effects of suture ligation and bipolar tissue sealer techniques on burst pressure using flesh appendectomy specimens.
  
  
  METHODS
  Appendectomy specimens of 32 patients with grade I-II disease were included in the study. Perforated or necrotic appendices and specimens ineligible for pressure measurement were excluded from the study. Appendiceal stumps of 16 patients in group 1 were double-ligated with 2/0 polyglactin sutures, then appendectomy was performed between these sutures. In group 2, the management of the stump was performed through single ligation with polyglactin suture, followed by appendectomy using a bipolar tissue sealing device. Burst pressures were recorded for all specimens.
  
  
  RESULTS
  There were no differences between groups in terms of age and sex. There was no significant difference between the two groups in terms of burst pressure (p = 0.92). Also, no significant difference was found between groups in terms of localization of the perforation (p > 0.05).
  
  
  CONCLUSIONS
  Bipolar tissue sealer achieves safe stump closure with satisfactory burst pressure values. Based on this, using bipolar tissue sealer for appendiceal stump closure in appendicitis may be safe and reliable.
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Umut Rıza
authors.initials: UR
authors.lastname: Gündüz
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Rojbin
authors.initials: R
authors.lastname: Karakoyun
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Şükrü
authors.initials: Ş
authors.lastname: Özdemir
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Hasan
authors.initials: H
authors.lastname: ÇalıŞ
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Mani
authors.initials: M
authors.lastname: Habibi
authors.affiliation: a Department of Surgery, Antalya Training and Research Hospital , Antalya, Turkey.
authors.forename: Osman Zekai
authors.initials: OZ
authors.lastname: Öner
mesh_terms: D000293:Adolescent; D000328:Adult; D001062:Appendectomy / Q000379:methods*; D001064:Appendicitis / Q000601:surgery*; D001065:Appendix / Q000601:surgery*; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008026:Ligation; D008297:Male; D008875:Middle Aged; D011098:Polyglactin 910 / Q000737:chemistry; D011183:Postoperative Complications / Q000453:epidemiology; D013536:Suture Techniques; D013537:Sutures; D055815:Young Adult
chemical_list: D011098:Polyglactin 910
keywords: Bipolar sealer; appendectomy; burst pressure