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197709

Endoloop Versus Endostapler Techniques in Appendicular Stump Closure during Laparoscopic Appendectomy: A Prospective Randomized Trial

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Last updated: 24 Dec 2024

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Abstract

Background: There has been an ongoing debate regarding the ideal method of appendicular stump closure during laparoscopic appendectomy. Objective: We conducted this study to compare endoloops and endostaplers as stump closure methods regarding postoperative infectious complications. Patients and methods: This prospective study included 110 patients diagnosed with appendicitis and scheduled for laparoscopic appendectomy. According to the stump closure method, they were divided into Group A or the endoloops group and Group B or the endostapler group. All cases received the same standard perioperative care. Preoperative, intraoperative, and postoperative data were collected, and the incidence of postoperative intraabdominal abscess was our primary outcome. Results: Both groups showed statistically comparable findings regarding most of the demographic, clinical, and laboratory variables. Complicated appendicitis was detected in 29.09% and 36.36% of patients in groups A and B, respectively. Operative time was also comparable between the two groups (50 and 55 minutes, respectively). An intraabdominal abscess was detected in only one patient in group A (1.82%). Wound infection was encountered in two patients in each group (3.64%). The incidence of infectious postoperative complications was statistically comparable between the two groups. No need for reoperations and no port-site hernias were detected in our study. Conclusion: Both endoloops and endostaplers have comparable intraoperative and postoperative outcomes. The surgeon should use the method he is more experienced with and according to the available facilities.  

DOI

10.21608/ejhm.2021.197709

Keywords

Endoloops, Endostaplers, Intraabdominal abscess, Laparoscopic appendectomy

Authors

First Name

Hamada Rashad Mohamed

Last Name

Abdelkader

MiddleName

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Affiliation

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Email

dr_7mada79@yahoo.com

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Orcid

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Volume

85

Article Issue

1

Related Issue

27163

Issue Date

2021-10-01

Receive Date

2021-10-03

Publish Date

2021-10-01

Page Start

3,354

Page End

3,358

Print ISSN

1687-2002

Online ISSN

2090-7125

Link

https://ejhm.journals.ekb.eg/article_197709.html

Detail API

https://ejhm.journals.ekb.eg/service?article_code=197709

Order

118

Type

Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Endoloop Versus Endostapler Techniques in Appendicular Stump Closure during Laparoscopic Appendectomy: A Prospective Randomized Trial

Details

Type

Article

Created At

22 Jan 2023