The influence of the different forms of appendix base closure on patient outcome in laparoscopic appendectomy: a randomized trial
العنوان: | The influence of the different forms of appendix base closure on patient outcome in laparoscopic appendectomy: a randomized trial |
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المؤلفون: | Samir Delibegovic, Zlatan Mehmedovic |
المصدر: | Surgical Endoscopy. 32:2295-2299 |
بيانات النشر: | Springer Science and Business Media LLC, 2017. |
سنة النشر: | 2017 |
مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, medicine.medical_treatment, Operative Time, Appendix base, law.invention, 03 medical and health sciences, Postoperative Complications, 0302 clinical medicine, Primary outcome, Randomized controlled trial, law, Surgical Stapling, medicine, Appendectomy, Humans, CLIPS, Ligature, Ligation, computer.programming_language, business.industry, Length of Stay, Middle Aged, Appendicitis, Appendix, Surgery, Treatment Outcome, surgical procedures, operative, medicine.anatomical_structure, 030220 oncology & carcinogenesis, Anesthesia, Acute Disease, Acute appendicitis, Female, Laparoscopy, 030211 gastroenterology & hepatology, business, computer, Follow-Up Studies, Abdominal surgery |
الوصف: | During laparoscopic appendectomy, the base of the appendix is usually secured by loop ligature or stapling device. Hem-o-lok and DS clips have been shown as alternative techniques. The aim of this study was to compare the clinical outcomes of various forms of securing the base of the appendix, in order to find the most suitable method. The study included 120 patients with acute appendicitis randomly divided into four groups with 30 patients in each. In the first group, the base of the appendix was secured using an Endoloop, in the second group using a stapling device, in the third group using Hem-o-lok, and in the fourth group using a DS clip. The primary outcome was overall morbidity following securing the base of the appendix. Secondary outcomes were time of application and operative procedure, total length of stay, and surgical outcome. No morbidity was recorded in any group. The time of application was significantly longer in the Endoloop group than in the Stapler (P |
تدمد: | 1432-2218 0930-2794 |
DOI: | 10.1007/s00464-017-5924-z |
URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::97ca9cc3368bbb89a469c78c8f13731e https://doi.org/10.1007/s00464-017-5924-z |
Rights: | CLOSED |
رقم الانضمام: | edsair.doi.dedup.....97ca9cc3368bbb89a469c78c8f13731e |
قاعدة البيانات: | OpenAIRE |
تدمد: | 14322218 09302794 |
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DOI: | 10.1007/s00464-017-5924-z |