Tissue Reaction to Absorbable Endoloop, Nonabsorbable Titanium Staples, and Polymer Hem-o-lok Clip After Laparoscopic Appendectomy

Delibegović, Samir; Iljazović, Ermina; Katica, Muhamed; Koluh, Anhel

doi:10.4293/108680811x13022985131336

Cited by 47 publications

(31 citation statements)

References 14 publications

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“…It has been shown to be as safe as other methods (15)(16)(17)(18). Delibegoviç et al (19) evaluated the effects of Endoloop, stapler and polymer clip applications on foreign body reaction and inflammation in an experimental study on rats, and reported that polymer clips were superior to other methods. The downside of clip use is its not being safe in case of intense inflammation where the diameter of appendix base is wide.…”

Section: Clipsmentioning

confidence: 99%

Methods for closure of appendix stump during laparoscopic appendectomy procedure

Mayır

Ensari

Bilecik

et al. 2015

UCD

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The most frequent abdominal pathology requiring emergent surgery is acute appendicitis. Laparoscopic appendectomy has been performed for the treatment of acute appendicitis since 1983. Closure of the appendix stump is vital to prevent severe postoperative complications. Different methods are described for closure such as stapler, endoloop, titanium clips, non-absorbable polymer clips (hem-o-lok clip), handmade loops, transsection by Ligasure or with bipolar cautery. The ideal method should be safe, applicable and cheap. The most appropriate method remains to be controversial. All methods are reported as safe, but some have higher costs, and some prolong the operation. In this article, we reviewed clinical and experimental studies on different methods of stump closure, and we tried to compare the benefit of these methods over others. Keywords INTRODUCTIONThe most common acute abdominal pathology requiring emergency surgery is appendicitis. Open appendectomy is the standard approach for treatment. Semm first defined laparoscopic appendectomy (LA) in 1983 as an alternative approach to open surgery (1). This method has been popularized and recommended as first choice treatment in especially women, the elderly and obese patients (2). Along with reported advantages such as less pain, earlier return to work, better cosmetic results, and shorter hospitalization of LA as compared to open appendectomy, there are negative issues such as high cost, long operation time and the high rate of intra-abdominal abscess (3-5).

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Section: Clipsmentioning

confidence: 99%

Methods for closure of appendix stump during laparoscopic appendectomy procedure

Mayır

Ensari

Bilecik

et al. 2015

UCD

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“…Polymer clips are reported to induce minimal soft tissue inflammation. 17 In our cohort we did not encounter any symptomatic foreign body reaction. The polymer clips are applied with long appliers through the 6mm working channel of the straight 10 mm 0 degree Storz telescope.…”

Section: Discussionmentioning

confidence: 70%

Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children

Karam

Hiuser²,

Magnuson

et al. 2016

Pediatr Med Chir

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Transumbilical laparoscopic assisted appendectomy combines laparoscopic single port dissection with open appendectomy after exteriorization of the appendix through the port site. Compared to the conventional three-port approach, this technique provides an alternative with excellent cosmetic outcome. We developed a safe and effective technique to perform an intracorporeal single port appendectomy, using the same laparoscope employed in the extracorporeal procedure. Retrospective review of 71 consecutively performed intracorporeal single port appendectomies and 30 conventional three-port appendectomies in children 6 to 17 years of age. A straight 10-mm Storz telescope with inbuilt 6 mm working channel is used to dissect the appendix, combined with one port-less 2.3 mm percutaneous grasper. Polymer WECK ® hem-o-lock ® clips are applied to seal the base of the appendix and the appendiceal vessels. No intraoperative complications were reported with the hybrid intracorporeal single port appendectomy or three-port appendectomy. There were two post-operative complications in the group treated with the single port hybrid technique: one intra-abdominal abscess and one surgical site infection. Groups did not differ in age, weight, and types of appendicitis. Operative times were shorter for the hybrid technique (70 vs 79 minutes) but did not differ significantly (P=0.19). This modified technique to a previously described single port extracorporeal appendectomy is easy to master and implement. It provides exposure similar to a three-port laparoscopic appendectomy, while maintaining virtually scarless results and potentially reduces the risk for surgical site infections compared to the extracorporeal technique.

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“…[15] The results of the study revealed both materials had acceptable tissue foreign body reaction and tissue reaction degree of the polymeric clips were slightly less than endo-loops. Moreover, the use of polymeric clips has been found to be safe and effective by the study of Hanssen et al with a special emphasize on cost effectiveness.…”

Section: Discussionmentioning

confidence: 79%

Comparison of Endoloop and polymer locking clip in ligating appendiceal stump during laparoscopic appendectomy

Şimşek¹

2017

Laparosc Endosc Surg Sci

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Tissue Reaction to Absorbable Endoloop, Nonabsorbable Titanium Staples, and Polymer Hem-o-lok Clip After Laparoscopic Appendectomy

Abstract: The mildest inflammatory changes postoperatively were found in the staple group followed by those in the Hem-O-Lok group.

Cited by 47 publications

References 14 publications

Methods for closure of appendix stump during laparoscopic appendectomy procedure

Methods for closure of appendix stump during laparoscopic appendectomy procedure

Intracorporeal hybrid single port vs conventional laparoscopic appendectomy in children

Comparison of Endoloop and polymer locking clip in ligating appendiceal stump during laparoscopic appendectomy

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