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Comparison of intracorporeal knot tying suture polyglactin and titanium endoclips in laparoscopic appendiceal stump closure a prospective randomized study

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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 2018-02-07T06:37:49Z
dc.date.available 2018-02-07T06:37:49Z
dc.date.issued 2012
dc.identifier.citation Ateş, M., Dirican, A., İnce, V., Ara, C., Işık, B., & Yılmaz, S. (2012). Comparison Of İntracorporeal Knot Tying Suture Polyglactin And Titanium Endoclips İn Laparoscopic Appendiceal Stump Closure A Prospective Randomized Study. Surg Laparosc Endosc Percutan Tec, 0–0. tr_TR
dc.identifier.uri https://pdfs.semanticscholar.org/384f/7aa9760cb7a3a1102915225c74153156501d.pdf
dc.identifier.uri http://hdl.handle.net/11616/8047
dc.description Surg Laparosc Endosc Percutan Tec, 0–0. tr_TR
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. Key Words: laparoscopy, appendectomy, knot-tying, endoclip tr_TR
dc.language.iso eng tr_TR
dc.publisher Surg Laparosc Endosc Percutan Tech Volume 22, Number 3, June 2012. 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 a prospective randomized study tr_TR
dc.type article tr_TR
dc.relation.journal Surg Laparosc Endosc Percutan Tech Volume 22, Number 3, June 2012. tr_TR
dc.contributor.department İnönü Üniversitesi tr_TR
dc.identifier.volume 22 tr_TR
dc.identifier.issue 3 tr_TR
dc.identifier.startpage 0 tr_TR
dc.identifier.endpage 0 tr_TR


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