Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy

Wael Barakaat Ahmed Mohamed; Ahmed Eisa Ahmed

doi:doi:10.11648/j.js.s.2017050301.12

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Closure of Appendicular Stump Using Absorbable Polydioxnon Endoclips in Laproscopoic Appendictomy

Wael Barakaat Ahmed Mohamed, Ahmed Eisa Ahmed

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

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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[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.
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[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.
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[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.
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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

Wael Barakaat Ahmed Mohamed

Department of Surgery, Sohag University, Sohag, Egypt
Ahmed Eisa Ahmed

Department of Surgery, Sohag University, Sohag, Egypt

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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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