AI Article Synopsis
- This study evaluates the safety of using electrosurgical devices for closing the appendiceal stump during laparoscopic appendectomy in pediatric patients, as there was limited knowledge on this technique.
- Conducted from 2012 to 2021 with 209 patients under 18 years old, the study found no cases of stump leakage and only a minimal rate of unrelated surgical site infections, suggesting favorable outcomes.
- The findings indicate that using a bipolar sealing device for appendiceal stump closure is feasible in children and warrants further research to confirm its efficacy and safety.
Article Abstract
Background: Closure of the appendiceal stump is a critical step during an appendectomy. There is a lack of knowledge about the feasibility of using electrosurgical devices for the occlusion of the appendix. This study aims to determine the safety of this technique in pediatric patients.
Methods: We performed a cross-sectional analytical study in patients less than 18 years of age treated at Hospital Militar Central Colombia between 2012 and 2021. Our institution's ethics committee approved the study. We analyzed the data using SPSS 22 statistical program. We present frequencies for qualitative variables and measures of central tendency or dispersion for quantitative variables depending on the distribution measured by the Kolmogorov-Smirnov test. In addition, we measured the association of nominal variables with the Chi-square test or Fisher's exact test. For numerical variables, the difference of means with the Student's t-test or the difference of medians with the Mann-Whitney U test.
Results: We treated 209 patients. One hundred sixteen (55.5%) were boys, and the mean age was 9.7 years (SD 3.2). The median intraoperative time was 60 min, and the hospital stay was 2.8 days on average. There were no cases of stump leakage, and only two patients (1%) had an organ-space surgical site infection, which was unrelated to the closure technique. We found no association between procedural complications and appendicular status (p = 0.450).
Conclusions: Our research suggests that using a bipolar sealing device (Ligasure, Medtronic, USA) for appendiceal stump closure in pediatric patients undergoing laparoscopic appendectomy is feasible and should be further studied.
Type Of Study: Treatment study.
Level Of Evidence: Level III.
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| http://dx.doi.org/10.1016/j.jpedsurg.2022.10.005 | DOI Listing |
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