Acute appendicitis is a highly frequent cause of abdominal surgical emergencies. The preferred treatment is still an Open appendectomy or Laparoscopic appedectomy. Because laparoscopic appendectomy offers vantages over open appendectomy as regard wound infection after surgery, analgesic needs, hospital stay length, and general healing, it has replaced open appendectomy as a therapeutic option. The most important step in a laparoscopic appendectomy is the closure of the appendicular stump. Many methods such as ligation using extracorporeal knots, intracorporeal knots, endostapling, endoloop or endoclips have been used for CAS in LA. This study aimed to compare 2 different methodsthe extracorporeal Roeder's knot and the polymeric non-absorbable Hem-o-lok clip.
AIM OF THE WORK:
The aim of this randomized comparative study was to evaluate twodifferent methods of closure of appendix stump, the extracorporeal Roeder's knot versus the polymeric non-absorbable Hem-o-lok clip as regards safety, feasibility, cost and complications.
SUBJECTS&METHODS:
In the period from august 2020 through september 2022, 40 patients underwent laparoscopic appendectomy were admitted to the HPB Surgical Unit in AUMH. A total of 173 patients were excluded, Causes of exclusion included appenicular mass ,appenicular abcess , Perforation with generalized peritonitis and unavilability of the laparoscope in the OR.