Comparison of Intra corporeal Knot-tying Suture and Hem-o-lok Clip for Closure of Appendix Stump in Laparoscopic Appendectomy: A Retrospective Study

Amaç: Laparoskopik apendektomide apendiks güdüğünün nasıl kapatılacağı hala tartışmalı bir konudur. Tanımlanmış birçok yöntem vardır. Bizçalışmada, intrakorporeal bağlama ile hem-o-lok klip uygulamasını retrospektif olarak karşılaştırdık. Gereç ve Yöntem: Elazığ Medical Park hastanesinde Ocak-2013 ile Haziran-2014 arasında laparoskopik apendektomi uygulanmış 92 olguyu retrospektif olarak değerlendirdik. Yaş, cinsiyet, hastanede kalış süresi, ameliyat süresi, olgunun komplike olup olmadığı, postoperatif komplikasyonlar ve bu komplikasyonlar için uygulanan tedaviler kaydedildi. Hastalar Grup 1 (hem-o-lok klip) ve Grup 2 (intrakorporeal bağlama) olarak iki gruba ayrıldı ve veriler bu iki grup arasında karşılaştırıldı. Bulgular: Doksan iki olgu (43 erkek / 49 kadın) değerlendirildi. Yaş ortalaması 35.1 (15-77) ortalama ameliyat süresi 28.8 dakika (20-50), ortalama hastanede yatış süresi 1.25 gün (0-5). Ameliyat süresi birinci grupta tüm olgularda (p

Laparoskopik Apendektomide Apendiks Güdüğünün Kapatılması: İntrakorporeal Bağlama ile Hem-o-lok Klip Kullanımının Karşılaştırılması; Retrospektif Çalışma Amaç: apendiks güdüğünün nasıl kapatılacağı hala tartışmalı bir konudur. Tanımlanmış birçok yöntem vardır. Bizbu

ABSTRACT Objective: The optimal method for closure of the appendix stump in laparoscopic appendectomy is stil controversial. There have been many defined methods for this aim. Here were trospectively compare the closure of appendix stump with intra corporeal knot tying and hem-o-lok clip. Material and Method: Ninty-two case sunder went to laparoscopic appendectomy in Elazig Medical Park Hospital from January 2013 to June 2014 was retrospectively screened. Age, gender, hospital stay, operation time, whether complicated appendicitis complicated appendicitis, complications and management of complications were noted. Patients were divided into two groups, Group 1 (hem-o-lok clip) and Group 2 (intra corporeal knot tying). Datas were compared between two groups. Results: Ninty-twopatients (43 male /49 female) were screened. Mean age was 35.1 (15-77) years. Mean operation time was 28.8 minutes (20-50), mean hospital stay was 1.25 (0-5) days. Operation time was significantly shorter in group 1 (p<0.001), both in uncomplicated (p<0.001) and complicated (p=0.046) cases. Although hem-o-lok group had a low hospital stay and postoperative complication rate, the difference between two groups was not statistically significant. Conclusion: Hem-o-lok clip is a simple and a safe tool for closure of appendiceal stum with low operation time.

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