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Related Experiment Video

Updated: Jul 13, 2026

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Laparoscopic appendectomy using a polymeric clip to close the appendicular stump.

Andrés Hanssen1, Sergio Plotnikov, Rinci Dubois

  • 1Instituto Medico La Floresta, Caracas, Venezuela. Hanssen@movistar.net.ve

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|July 27, 2007
PubMed
Summary

Nonabsorbable polymeric clips are a feasible, safe, and cost-effective alternative for appendiceal stump closure in laparoscopic appendectomies, offering a significant cost reduction compared to surgical staplers.

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Area of Science:

  • Surgical innovation
  • Minimally invasive surgery
  • Gastrointestinal surgery

Background:

  • Evaluating the feasibility and outcomes of nonabsorbable polymeric clips for appendiceal stump occlusion.
  • Comparing polymeric clips against surgical staplers in laparoscopic appendectomies.

Purpose of the Study:

  • To determine the technical feasibility of using nonabsorbable polymeric clips.
  • To assess differences in postoperative outcomes between clip and stapler methods.

Main Methods:

  • Prospective study with two phases.
  • Phase 1: 28 patients randomized to stapler or Hem-o-lock clips.
  • Phase 2: 250 patients analyzed with Hem-o-lock clips and Harmonic scalpel.

Main Results:

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  • Nonabsorbable polymeric clips (Hem-o-lock) were found to be significantly less expensive than endoscopic staplers.
  • No specific complications or differences in hospital stay were detailed in the abstract.

Conclusions:

  • Nonabsorbable polymeric clips are a feasible, safe, and economical option for appendiceal stump ligation.
  • This method presents a viable alternative to surgical staplers in laparoscopic appendectomies.