Introduction: The purpose of this study was to evaluate the technical feasibility and other advantages of closing the appendicular stump with a polymeric clip in laparoscopic appendectomy (LA).
Methods: In this study, 121 pediatric patients who underwent LA between July 2009 and July 2011 were included. Age and gender of the patients, the number of clips, operative time and length of hospitalization, complications, and follow-up periods were evaluated retrospectively.
Results: Of appendicular stump of a total of 121 patients who were underwent LA, 71 were closed with double polymeric clips and 50 were closed with a single polymeric clip. Patients were between the ages of 3 and 15 years (mean 8.3 years). Out of the 121 patients, 54 were female and 67 were male. The duration of the operation was ranged from 13 to 55 minutes (mean 28 minutes). Of these, 83 patients were discharged in less than 24 hours. The cost of a single clip was 10 USD. The follow-up period of patients were ranged between 1 and 23 months (mean 13 months). No operative or postoperative complications occurred depending on the application of the polymeric clip.
Conclusion: LA using polymeric clip/s to close appendicular stump in children is a safe, feasible, and inexpensive method.
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http://dx.doi.org/10.1055/s-0032-1308693 | DOI Listing |
Cureus
March 2024
Surgery, Hospital Medica Sur, Mexico City, MEX.
Introduction Acute appendicitis is a common cause of acute abdomen and the most frequent surgical emergency in the world. Since the nineteenth century, surgical resolution has been the most accepted treatment worldwide, and laparoscopic appendectomy is currently preferred as the treatment of choice because it has several benefits. The closure of the appendiceal stump is the most crucial step during appendectomy since its inadequate management can cause post-surgical complications.
View Article and Find Full Text PDFPol Przegl Chir
October 2023
School of Medicine, Antenor Orrego Private University, Trujillo, Peru.
<b><br>Introduction:</b> Acute appendicitis is one of the most frequent emergencies in hospitals around the world; it requires early surgical treatment in complicated cases. One of the challenges that the surgeon faces during appendectomy is when the base of the appendix is compromised by either a perforation or gangrene. To show the surgical strategies that have been reported, as well as the complications associated with a compromised appendicular base in a complicated acute appendicitis.
View Article and Find Full Text PDFJ Pediatr Urol
April 2024
Great Ormond Street Hospital for Children, Paediatric Urology, Great Ormond Street, London, WC1N 3JH, London United Kingdom. Electronic address:
Introduction: Conventionally the split appendix has been used to address the need for dual conduits such as the Mitrofanoff and the ACE, however limited by its length. We present a video demonstration of an alternate solution.
Material And Methods: Size-12 Nelaton catheter introduced via appendicular stump and skirted along the lateral wall of the caecum.
Front Surg
July 2023
Department of Gastrointestinal Surgery, Institute of Hepatobiliology and Pancreaticoenterology of the Affiliated Hospital of North Sichuan Medical College, Nanchong, China.
The incidence of appendiceal stump leakage (ASL) is extremely low and heterogeneous, which has been reported to be approximately 0.5%-1.0%.
View Article and Find Full Text PDFJ Surg Case Rep
June 2023
Department of Pathology, Believers Church Medical College Hospital, Thiruvalla, Kerala 689103, India.
Tuberculosis (TB) remains as a significant global public health issue, especially in developing and underdeveloped nations. Extrapulmonary TB comprises 20% of the TB cases; of which 34.4% were in the lymphatics, 25.
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