COMPARISON OF STUMP CLOSURE TECHNIQUES OF THE BASE OF THE APPENDIX IN LAPAROSCOPIC APPENDECTOMY
Journal Title: Journal of Evolution of Medical and Dental Sciences - Year 2017, Vol 6, Issue 72
Abstract
BACKGROUND Appendicitis remains one of the most common surgical diseases. Open or laparoscopic appendectomy remains the gold standard treatment for acute appendicitis. The technique of appendectomy may vary from surgeon to surgeon or from centre to centre, starting from skin incision to ligation and invagination of appendiceal stump. However, concerns still exist regarding appendiceal stump closure. The present study was conducted to compare the stump closure techniques of Endoloop versus Intracorporeal Transfixation of the base of the appendix in laparoscopic appendectomy to demonstrate the safety and feasibility in this surgery. MATERIALS AND METHODS This prospective, non-randomised, controlled study was conducted on 60 patients with appendicitis. The patients from same population were assigned to one of the two groups alternatively; A and B, each consisting of 30 patients. The patients in Group A underwent laparoscopic appendectomy with simple endoloop ligation of the base of appendix, whereas the patients in Group B underwent laparoscopic appendectomy with intracorporeal transfixation of the base of appendix. The findings of subgroups were compared and results were evaluated by IBM-Statistical Package Social Sciences (SPSS) statistical methods. RESULTS Position and diameter of appendix did not affect the feasibility of stump ligation with both techniques. Both techniques were comparable in terms of post-operative complications and time of appearance of bowel activity. Operative time was significantly more in intracorporeal transfixation technique. CONCLUSION Both the techniques are safe, sure and reliable methods for stump closure. Hence, appendix stump ligation should be left to preference of the operating surgeon.
Authors and Affiliations
Prem Chand, Goldendeep Singh, Paramjit Singh Kahlon, Singh D. P, Ankit Gupta
Keywords
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- EP ID EP265547
- DOI 10.14260/jemds/2017/1107
- Views 73
- Downloads 0
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