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    • Knots Versus Endoclips for Stump Closure In Laparoscopic Appendectomy

    Ahmed Mahmoud Hussein1MD; Nader Makram Milad1MD; Mohammed Diaa Sarhan 1 MD; Ahmed Shaddad Abdel Wahed2 M.Sc.
    1Department of General Surgery, Faculty of Medicine, Cairo University, Egypt. 2Department of General Surgery, Omm El-Mesreyeen Hospital, Giza Governorate, Egypt

    Background: Closure of the appendiceal stump post laparoscopic appendectomy is of great concern. Different techniques are being used, commonly endoclips and knots. Aim of work: Comparing titanium endoclips with intracorporeal polyglactin knots in closure of the appendiceal stump during laparoscopic appendectomy. Patients and Methods : Randomized prospective single blind study included 50 patients with acute non complicated appendicitis underwent laparoscopic appendectomy. The stumps were closed using titanium endoclips in 25 patients (group I) and by polyglactin intracorporeal knotting in 25 patients (group II). Results: There are no differences between both methods regarding intra-operative or post operative complications. Moreover, operative time was longer in the knot group but not affecting the outcome. Conclusion : Titanium endoclips are safe for closure of the appendiceal stump with shorter operative time, and easier procedure as well. So it can be a reliable alternative to knot-tying for appendiceal stump closure. Keywords: Laparoscopic appendectomy , Appendiceal stump , Titanium endoclip, knotting , intracorporeal.

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