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Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure

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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


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