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      Comparison of outcomes of laparoscopic intracorporeal knotting technique in patients with complicated and noncomplicated acute appendicitis.

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          Abstract

          In our study we aimed to compare laparoscopic intracorporeal knotting technique (base of the appendix was ligated with 20 cm of 2.0 silk) in patients with complicated acute appendicitis (CAA) and noncomplicated acute appendicitis.

          Most cited references17

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          Endoscopic appendectomy.

          K. Semm (1983)
          These newly developed endoscopic methods in gynaecology for haemostasis during surgical pelviscopy (Endocoagulation Roeder-loop ligation, endoligature, endo-suture with intra- and extracorporeal knotting) make it possible to carry out appendectomy by endoscopy for any of the following indications: Postoperative adhesion of the appendix especially in "sterility" patients, elongated appendix extending into the small pelvis, endometriosis of the appendix, subacute and chronic appendicitis. The instrument-set employed in this method permits the performance of all the usual classical operative steps (purse-string suture, and Z-suture acc. to McBurney and Sprengel). The point for resection has to be sterilized over 20-30 sec. at 212 degrees F using the crocodile forceps (endocoagulation procedure) before division and extraction of the appendix is effected.
          Article 0 comments Cited 193 times – based on 0 reviews     Review now
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            SAGES guideline for laparoscopic appendectomy.

            William Reed, E Fellinger, J Korndorffer (2010)
            Article 0 comments Cited 34 times – based on 0 reviews     Review now
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              Securing the appendiceal stump in laparoscopic appendectomy: evidence for routine stapling?

              G Kazemier, K H in't Hof, S. Saad … (2006)
              This metaanalysis aimed to compare endoscopic linear stapling and loop ligatures used to secure the base of the appendix. Randomized controlled trials on appendix stump closure during laparoscopic appendectomy were systematically searched and critically appraised. The results in terms of complication rates, operating time, and hospital stay were pooled by standard metaanalytic techniques. Data on 427 patients from four studies were included. The operative time was 9 min longer when loops were used (p = 0.04). Superficial wound infections (odds ratio [OR], 0.21; 95% confidence interval (CI), 0.06-0.71; p = 0.01) and postoperative ileus (OR, 0.36; 95% CI, 0.14-0.89; p = 0.03) were significantly less frequent when the appendix stump was secured with staples instead of loops. Of 10 intraoperative ruptures of the appendix, 7 occurred in loop-treated patients (p = 0.46). Hospital stay and frequency of postoperative intraabdominal abscess also were comparable in loop-treated and staple-treated patients. The clinical evidence on stump closure methods in laparoscopic appendectomy favors the routine use of endoscopic staplers.
              Article 0 comments Cited 31 times – based on 0 reviews     Review now
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                Author and article information

                Journal
                Journal ID (iso-abbrev): Ther Clin Risk Manag
                Title: Therapeutics and clinical risk management
                Publisher: Informa UK Limited
                ISSN: 1176-6336
                ISSN (Print): 1176-6336
                Publication date (Electronic): 2015
                Volume: 11
                Affiliations
                [1 ] Department of General Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
                [2 ] Department of General Surgery, Ataturk State Hospital, Antalya, Turkey.
                [3 ] Department of Infectious Disease, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
                [4 ] Department of Cardiovascular Surgery, Diyarbakır Gazi Yaşargil Training and Research Hospital, Diyarbakır, Turkey.
                Article
                Publisher Item ID: tcrm-11-1213
                DOI: 10.2147/TCRM.S88479
                PMC ID: 4542476
                PubMed ID: 26316765
                SO-VID: a3c9acd1-f313-4d8c-b6bc-562537cd4e0d
                History

                Keywords: complicated acute appendicitis,laparoscopic appendectomy,laparoscopic intracorporeal knotting technique
                Data availability:
                Keywords: complicated acute appendicitis, laparoscopic appendectomy, laparoscopic intracorporeal knotting technique

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