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Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy

Received: 26 December 2016     Accepted: 27 December 2016     Published: 6 February 2017
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Abstract

Background: Since 1983 when the 1st laparoscopic appendectomy was described by Semms, different methods for closure of the appendicular stump during laparoscopic appendectomy such as linear stapler (Endo GIA), endoloop ligature, intracorporeal suture and metal endoclips were used. The use of non-absorbable plastic clips was described in several studies which reported the low cost and easy application of these clips. Objective: to evaluate the efficiency of closure of appendicular stump using polydixanone AP 400 endosclips techniques as regard the intraoperative and postoperative complications. Patients: From October 2014 to October 2015, 40 patients from General surgery department Sohag university hospitals undergoing laparoscopic appendectomy with closure of appendicular stump using polydixanone AP 400 endosclips was done for all the patients. Primary outcome measures: were feasibility of the clip, intra-abdominal surgical site (abscesses, stump leakages) and superficial wound infections. Results: The staples were applicable in nearly 80% of patients. Reasons for not applying the clip were mainly aninflamed caecum or a too large diameter of the appendix base. Superficial wound infections were found in two (5%), intra-abdominal abscesses in one (2.5%), no leak from the appendicular stump was detected. Conclusions: The results suggest that the polydiaxnone endo clip is a safe and effective option in securing the appendicular stump in laparoscopic appendectomy.

Published in Journal of Surgery (Volume 5, Issue 3-1)

This article belongs to the Special Issue Minimally Invasive and Minimally Access Surgery

DOI 10.11648/j.js.s.2017050301.12
Page(s) 8-11
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2017. Published by Science Publishing Group

Keywords

Appendicitis, Laparoscopic Appendectomy, Hem-o-Lock Clip, Appendicular Stump

References
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[2] Wei B, Qi CL, Chen TF, Zheng ZH, Huang JL, Hu BG, Wei HB (2011;). Laparoscopic versus open appendectomy for acute appendicitis: a metaanalysis. Surg Endosc. 25: 1199-208.
[3] Markides G, Subar D, Riyad K(2010). Laparoscopic versus open appendectomy in adults with complicated appendicitis: systematic review and meta-analysis.World J Surg, 34: 2026-40.
[4] Markar SR, Penna M, Harris A (2014). Laparoscopic approach to appendectomy reduces the incidence of short- and long-term post-operative bowel obstruction: systematic review and pooled analysis. J Gastro Intest Surg, 18: 1683-92.
[5] Semm K (1983). Endoscopicappendectomy. Endoscopy. 15:59–64.
[6] Beldi G, Vorburger SA, Bruegger LE, Kocher T, Inderbitzin D, Candinas D (2006): Analysis of stapling versus endoloops in appendiceal stump closure. Br J Surg, 93(11):1390–1393.
[7] Roviaro GC, Vergani C, Varoli F, Francese M, Caminiti R, Maciocco M (2006): Videolaparoscopic appendectomy: the current outlook. Surg Endosc. 20:1526–1530.
[8] Alis H, Gonenc M, Deniztas C, Kapan S, Turhan NA(2012): Metal endoclips for the closure of the appendiceal stump in laparoscopic appendectomy. Tech Coloproctol, 16(2):139–141.
[9] Partecke LI, Kessler W, von BW, Diedrich S, Heidecke CD, Patrzyk M (2010) Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump. LangenbecksArch Surg 395:1077–1082
[10] Delibegovic S, Matovic E (2009) Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy. Surg Endosc 23:2851–2854.
[11] Guller U, Hervey S, Purves H, Muhlbaier LH, Peterson ED, Eubanks S, Pietrobon R (2004) Laparoscopic versus open appendectomy: outcomes comparison based on a large administrative database. Ann Surg 239: 43–52.
[12] Gomes CA, Nunes TA, Soares C Jr, Gomes CC(2012). The appendiceal stump closure during laparoscopy: historical, surgical, and future perspectives. Surg Laparosc Endosc Percutan Tech. 22: 1-4.
[13] Gorter RR, Heij HA, Eker HH, Kazemier G(2014). Laparoscopic appendectomy: State of the art. Tailored approach to the application of laparoscopic appendectomy? Best Pract Res Clin Gastroenterol. 28: 211-24.
[14] Beldi G, Muggli K, Helbling C, Schlumpf R(2004). Laparoscopic appendectomy using endoloops: a prospective, randomized clinical trial. Surg Endosc. 18: 749-50.
[15] Delibegović S, Iljazović E, Katica M, Koluh A(2011). Tissue reaction to absorbable endoloop, nonabsorbable titanium staples, and polymer Hem-o-lok clip after laparoscopic appendectomy. JSLS ; 15: 70-6.
[16] Hanssen A, Plotnikov S, Dubois R(2007). Laparoscopic appendectomy using a polymeric clip to close the appendicular stump. JSLS; 11: 59-62.
[17] Sajid MS, Rimple J, Cheek E, Baig MK (2009) Use of endo-GIA versus endo-loop for securing the appendicular stump inlaparoscopic appendicectomy: a systematic review. Surg Laparosc Endosc Percutan Tech 19:11–15.
[18] Partecke LI, Kessler W, von BW, Diedrich S, Heidecke CD, Patrzyk M (2010) Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump. Langenbecks Arch Surg 395: 1077–1082.
[19] Delibegovic S, Matovic E (2009) Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy. Surg Endosc 23: 2851–2854.
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Cite This Article
  • APA Style

    Wael Barakaat Ahmed Mohamed, Ahmed Eisa Ahmed. (2017). Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy. Journal of Surgery, 5(3-1), 8-11. https://doi.org/10.11648/j.js.s.2017050301.12

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    ACS Style

    Wael Barakaat Ahmed Mohamed; Ahmed Eisa Ahmed. Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy. J. Surg. 2017, 5(3-1), 8-11. doi: 10.11648/j.js.s.2017050301.12

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    AMA Style

    Wael Barakaat Ahmed Mohamed, Ahmed Eisa Ahmed. Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy. J Surg. 2017;5(3-1):8-11. doi: 10.11648/j.js.s.2017050301.12

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  • @article{10.11648/j.js.s.2017050301.12,
      author = {Wael Barakaat Ahmed Mohamed and Ahmed Eisa Ahmed},
      title = {Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy},
      journal = {Journal of Surgery},
      volume = {5},
      number = {3-1},
      pages = {8-11},
      doi = {10.11648/j.js.s.2017050301.12},
      url = {https://doi.org/10.11648/j.js.s.2017050301.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.s.2017050301.12},
      abstract = {Background: Since 1983 when the 1st laparoscopic appendectomy was described by Semms, different methods for closure of the appendicular stump during laparoscopic appendectomy such as linear stapler (Endo GIA), endoloop ligature, intracorporeal suture and metal endoclips were used. The use of non-absorbable plastic clips was described in several studies which reported the low cost and easy application of these clips. Objective: to evaluate the efficiency of closure of appendicular stump using polydixanone AP 400 endosclips techniques as regard the intraoperative and postoperative complications. Patients: From October 2014 to October 2015, 40 patients from General surgery department Sohag university hospitals undergoing laparoscopic appendectomy with closure of appendicular stump using polydixanone AP 400 endosclips was done for all the patients. Primary outcome measures: were feasibility of the clip, intra-abdominal surgical site (abscesses, stump leakages) and superficial wound infections. Results: The staples were applicable in nearly 80% of patients. Reasons for not applying the clip were mainly aninflamed caecum or a too large diameter of the appendix base. Superficial wound infections were found in two (5%), intra-abdominal abscesses in one (2.5%), no leak from the appendicular stump was detected. Conclusions: The results suggest that the polydiaxnone endo clip is a safe and effective option in securing the appendicular stump in laparoscopic appendectomy.},
     year = {2017}
    }
    

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  • TY  - JOUR
    T1  - Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy
    AU  - Wael Barakaat Ahmed Mohamed
    AU  - Ahmed Eisa Ahmed
    Y1  - 2017/02/06
    PY  - 2017
    N1  - https://doi.org/10.11648/j.js.s.2017050301.12
    DO  - 10.11648/j.js.s.2017050301.12
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 8
    EP  - 11
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.s.2017050301.12
    AB  - Background: Since 1983 when the 1st laparoscopic appendectomy was described by Semms, different methods for closure of the appendicular stump during laparoscopic appendectomy such as linear stapler (Endo GIA), endoloop ligature, intracorporeal suture and metal endoclips were used. The use of non-absorbable plastic clips was described in several studies which reported the low cost and easy application of these clips. Objective: to evaluate the efficiency of closure of appendicular stump using polydixanone AP 400 endosclips techniques as regard the intraoperative and postoperative complications. Patients: From October 2014 to October 2015, 40 patients from General surgery department Sohag university hospitals undergoing laparoscopic appendectomy with closure of appendicular stump using polydixanone AP 400 endosclips was done for all the patients. Primary outcome measures: were feasibility of the clip, intra-abdominal surgical site (abscesses, stump leakages) and superficial wound infections. Results: The staples were applicable in nearly 80% of patients. Reasons for not applying the clip were mainly aninflamed caecum or a too large diameter of the appendix base. Superficial wound infections were found in two (5%), intra-abdominal abscesses in one (2.5%), no leak from the appendicular stump was detected. Conclusions: The results suggest that the polydiaxnone endo clip is a safe and effective option in securing the appendicular stump in laparoscopic appendectomy.
    VL  - 5
    IS  - 3-1
    ER  - 

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Author Information
  • Department of Surgery, Sohag University, Sohag, Egypt

  • Department of Surgery, Sohag University, Sohag, Egypt

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