Use of Polymeric Clip (Hem-O-Lock) for Appendiceal Stump Ligation as a Favorable Technique in Laparoscopic Appendectomy

Abstract

Background: Laparoscopicappendectomy(LA)hasbecomethestandardchoiceforacuteappendicitis. Severaltechniquestoclose the appendiceal stump were investigated, and use of polymeric clips, are shown safe and cost effective. Objectives: Evaluation of the efficacy and safety of appendiceal stump closure with polymeric clips in LA. Methods: Thisisaretrospectivecohortstudyincluded35patientswhounderwentLA,betweenApril2013andAugust2016inRasool-e-Akram university hospital. appendiceal stumps ligation were performed by polymeric clips. One month follow up after surgery was performed for all patients. Demographic information of patinets, surgery, complications, readmission and pathological re-ports, were collected from medical records and data base. Results: Thirty-five patients were included in this retrospective study. Nineteen patients were male and 16 patients were female (54.3% vs 45.7%). The mean age was 28.49 ± 9.56 years, mean operative time was 59.6 ± 11.8 minutes and mean hospitalization was 2.54 ± 0.7 days. There was no intraoperative complication and intraabdominal abscess formation. Also no readmission and no perioperative death were recorded in documents. In pathologic reports, there were 15 (42.8%) suppurative and one gangrenous (2.8%) appendicitis. Conclusions: Applicationof polymericclipsforstumpligationissafe,costeffectiveandtimesaving,andcouldbeusedasfavorable technique in LA.