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Appendix stump closure with titanium clips in laparoscopic appendectomy.

Alexander Rickert1, Roderich Bönninghoff, Stefan Post

  • 1Department of Surgery, University Hospital Mannheim, University of Heidelberg, Theodor-Kutzer-Ufer 1-3, 68167, Mannheim, Germany.

Langenbeck'S Archives of Surgery
|November 15, 2011
PubMed
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A new titanium double-shanked clip (DS-Clip) for laparoscopic appendectomy is safe and effective. This method for closing the appendix stump is easy to use and comparable to other techniques.

Area of Science:

  • Surgical Innovation
  • Minimally Invasive Surgery
  • Gastrointestinal Surgery

Background:

  • Laparoscopic appendectomy is a common procedure.
  • Various methods exist for stump closure, including clips.
  • A novel titanium double-shanked clip (DS-Clip) has been developed.

Purpose of the Study:

  • To evaluate the safety and efficacy of the new titanium DS-Clip for appendix stump closure.
  • To compare the DS-Clip with existing methods in terms of complications, operation time, and hospital stay.
  • To assess the surgeon's perception of the DS-Clip's practicability.

Main Methods:

  • A prospective study involving 104 patients undergoing laparoscopic appendectomy.
  • The appendix base was primarily closed using the titanium DS-Clip.

Related Experiment Videos

  • Data collected included intra- and postoperative complications, operation time, hospital stay, and surgeon feedback via questionnaire.
  • Main Results:

    • The DS-Clip was successfully used in most cases; four patients required exclusion due to severe inflammation.
    • One patient developed an intra-abdominal abscess requiring drainage, with no reoperations needed.
    • Complication rates, operation time, and hospital stay were comparable to other stump closure devices. Surgeon-rated practicability was largely excellent or good.

    Conclusions:

    • The titanium DS-Clip is a safe and cost-effective option for securing the appendix base during laparoscopic appendectomy.
    • Its ease of application makes it suitable for training purposes in teaching hospitals.
    • The DS-Clip presents a viable alternative for stump closure in this common surgical procedure.