dc.contributor.author |
Ateş, Mustafa |
|
dc.contributor.author |
Dirican, Abuzer |
|
dc.contributor.author |
İnce, Volkan |
|
dc.contributor.author |
Ara, Cengiz |
|
dc.contributor.author |
Işık, Burak |
|
dc.contributor.author |
Yılmaz, Sezai |
|
dc.date.accessioned |
2017-08-08T08:44:33Z |
|
dc.date.available |
2017-08-08T08:44:33Z |
|
dc.date.issued |
2012 |
|
dc.identifier.citation |
Ateş, M. Dirican, A. İnce, V. Ara, C. Işık, B. Yılmaz, S. (2012). Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure. Surgical Laparoscopy, Endoscopy & Percutaneous Techniques, 22(3), 226–231. |
tr_TR |
dc.identifier.issn |
1530-4515 |
|
dc.identifier.uri |
http://content.wkhealth.com/linkback/openurl?sid=WKPTLP:landingpage&an=00129689-201206000-00012 |
|
dc.identifier.uri |
http://hdl.handle.net/11616/7487 |
|
dc.description.abstract |
Background: Laparoscopic appendectomy is a well-described surgical
technique. However, concerns still exist regarding whether the
closure of the appendiceal stump should be done with a clip, an
endoloop, staples, or other techniques. Therefore, several modifications
to the original technique with new materials have been
introduced for appendiceal stump closure. The aim of this study
was to compare intracorporeal (polyglactin) knot-tying suture with
titanium endoclips in appendiceal stump closure during laparoscopic
appendectomy.
Methods: The study was carried out as a prospective randomized
clinical trial between April 2010 and February 2011. Patients with a
presentation of appendicitis were included into the study. Two
groups were defined—patients with the titanium endoclip and patients
with the knot-tying (polyglactin) suture. The results in terms
of operating time, complication rates, and hospital stay were analyzed.
Results: Sixty-one patients who underwent laparoscopic appendectomy
were enrolled in the titanium endoclip group (n= 30) or
the knot-tying (polyglactin) suture group (n= 31). No statistically
significant differences were detected between the groups in terms of
the distribution of age, sex percentage, appendix localization, and
histopathologic diagnosis (P> 0.05). One patient required a second
operation on postoperative day 10 because of intraperitoneal
abscess. The mean operative time for the endoclip group
(41.27± 12.2 min) was shorter than that for the knot-tying group
(62.81± 15.4 min) (P= 0.001). No statistically significant differences
were detected between the groups in terms of hospital stay,
follow-up time, and preoperative and postoperative complications
(P> 0.05).
Conclusions: In laparoscopic appendectomy, using a titanium endoclip
for optimizing and controlling the appendiceal stump closure
is safe and is associated with shorter operation time. This also
simplifies the procedure, so it can be a useful alternative to intracorporeal
knot-tying for appendiceal stump closure. |
tr_TR |
dc.language.iso |
eng |
tr_TR |
dc.publisher |
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques |
tr_TR |
dc.relation.isversionof |
10.1097/SLE.0b013e31824f25cd |
tr_TR |
dc.rights |
info:eu-repo/semantics/openAccess |
tr_TR |
dc.subject |
Laparoscopy |
tr_TR |
dc.subject |
Appendectomy |
tr_TR |
dc.subject |
Knot-tying |
tr_TR |
dc.subject |
Endoclip |
tr_TR |
dc.title |
Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure |
tr_TR |
dc.type |
article |
tr_TR |
dc.relation.journal |
Surgical Laparoscopy, Endoscopy & Percutaneous Techniques |
tr_TR |
dc.contributor.department |
İnönü Üniversitesi |
tr_TR |
dc.contributor.authorID |
110105 |
tr_TR |
dc.identifier.volume |
22 |
tr_TR |
dc.identifier.issue |
3 |
tr_TR |
dc.identifier.startpage |
226 |
tr_TR |
dc.identifier.endpage |
231 |
tr_TR |