The Use of Bioabsorbable Seamguard During Laparoscopic Appendectomy

Abstract

The laparoscopic approach to appendectomy for acute appendicitis is becoming increasingly favored among surgeons. Endoscopic stapling remains a common approach for division of the appendix and mesoappendix, but staple line bleeding along the mesentery is commonly observed, occasionally demanding surgical control for complete hemostasis. Bioabsorbable seamguard was used as an adjunct to endoscopic stapling of the mesoappendix in 33 consecutive adult patients during laparoscopic appendectomy for acute appendicitis, with complete immediate staple line hemostasis observed by the operative surgeon in all cases. There were no intraoperative complications and no late infectious intra-abdominal complications. There were no postoperative bleeding complications. Bioabsorbable seamguard is a safe and effective adjunct to endoscopic mesoappendiceal stapling which prevents intraoperative and postoperative staple line bleeding.

Staple-line reinforcement during laparoscopic sleeve gastrectomy using three different techniques: a randomized trial

“…This material is degraded through a combination of hydrolytic and enzymatic pathways; it is biocompatible and nonantigenic. Seamguard Ò has been used to assist surgeons performing appendectomies, mesenteric vascular resections, pancreatectomies, and a variety of colorectal procedures [31][32][33][34][35]. Prospective, randomized, clinical trials have shown that Seamguard Ò minimizes staple-line bleeding and leakage and reduces operating time [15,36].…”

Reinforcement Does Not Necessarily Reduce the Rate of Staple Line Leaks After Sleeve Gastrectomy. A Review of the Literature and Clinical Experiences

“…SeamGuard has been used to assist surgeons performing appendectomies, mesenteric vascular resections, pancreatectomies, and a variety of colorectal procedures [5,8,[46][47][48]. Prospective randomized clinical trials have shown SeamGuard minimizes staple-line bleeding and leakage and reduces operating time [24,49].…”

Prospective and Randomized Comparison of Two Techniques of Staple Line Reinforcement During Open Roux-en-Y Gastric Bypass: Oversewing and Bioabsorbable Seamguard®

“…12,13 Studies have shown reduced rates of bleeding and anastomosis leakage with its use in colon surgeries 14 and in appendectomies. 15 Lower rates of intraoperative bleeding, shorter surgical times, and reduced abscess formation with its use in bariatric surgery 16 have been reported.…”