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. |
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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 |
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dc.language.iso |
eng |
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dc.publisher |
Surg Laparosc Endosc Percutan Tech Volume 22, Number 3, June 2012. |
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dc.rights |
info:eu-repo/semantics/openAccess |
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dc.subject |
Laparoscopy |
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dc.subject |
Appendectomy |
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dc.subject |
Knot-tying |
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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 |
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dc.relation.journal |
Surg Laparosc Endosc Percutan Tech Volume 22, Number 3, June 2012. |
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dc.contributor.department |
İnönü Üniversitesi |
tr_TR |
dc.identifier.volume |
22 |
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dc.identifier.issue |
3 |
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dc.identifier.startpage |
0 |
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dc.identifier.endpage |
0 |
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