Comparison of Intracorporeal Knot-tying Suture (Polyglactin) and Titanium Endoclips in Laparoscopic Appendiceal Stump Closure: A Prospective Randomized Study

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dc.authoridYilmaz, Sezai/0000-0002-8044-0297
dc.authoridince, volkan/0000-0002-0714-490X
dc.authoridIsik, Burak/0000-0002-2395-3985
dc.authoridAtes, Mustafa/0000-0003-2821-453X
dc.authorwosidYilmaz, Sezai/ABI-2323-2020
dc.authorwosidince, volkan/M-7325-2017
dc.authorwosidIsik, Burak/A-6657-2018
dc.authorwosidAtes, Mustafa/ABI-5100-2020
dc.contributor.authorAtes, Mustafa
dc.contributor.authorDirican, Abuzer
dc.contributor.authorInce, Volkan
dc.contributor.authorAra, Cengiz
dc.contributor.authorIsik, Burak
dc.contributor.authorYilmaz, Sezai
dc.date.accessioned2024-08-04T20:35:57Z
dc.date.available2024-08-04T20:35:57Z
dc.date.issued2012
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: 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.en_US
dc.identifier.doi10.1097/SLE.0b013e31824f25cd
dc.identifier.endpage231en_US
dc.identifier.issn1530-4515
dc.identifier.issue3en_US
dc.identifier.pmid22678318en_US
dc.identifier.scopus2-s2.0-84862585795en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage226en_US
dc.identifier.urihttps://doi.org/10.1097/SLE.0b013e31824f25cd
dc.identifier.urihttps://hdl.handle.net/11616/95691
dc.identifier.volume22en_US
dc.identifier.wosWOS:000305151700028en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherLippincott Williams & Wilkinsen_US
dc.relation.ispartofSurgical Laparoscopy Endoscopy & Percutaneous Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectlaparoscopyen_US
dc.subjectappendectomyen_US
dc.subjectknot-tyingen_US
dc.subjectendoclipen_US
dc.titleComparison of Intracorporeal Knot-tying Suture (Polyglactin) and Titanium Endoclips in Laparoscopic Appendiceal Stump Closure: A Prospective Randomized Studyen_US
dc.typeArticleen_US

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