Laparoscopic appendectomy: Hem-o-lok versus Endoloop in stump closure

Area of Science:

• Surgical Innovation
• Minimally Invasive Surgery
• Gastrointestinal Surgery

Background:

• Laparoscopic appendectomy is a common procedure.
• Various techniques exist for appendicular stump closure.
• Evaluating new devices for safety and efficiency is crucial.

Purpose of the Study:

• To compare the safety and usefulness of the Hem-o-lok clip versus the endo-loop for appendicular stump closure.
• To analyze operative time, complications, length of stay, and costs.

Main Methods:

• Retrospective study of laparoscopic appendectomies from 2010-2015.
• Two groups: Group I (endo-loop) and Group II (Hem-o-lok).
• Data reviewed included complications, operative time, length of stay, and costs.

Main Results:

• 121 patients in Group I, 138 in Group II.
• Mean operative time: 40.5 min (Group I) vs. 36.4 min (Group II).
• No significant difference in complications or hospital stay; Hem-o-lok was cheaper and easier to use.

Conclusions:

• Both Hem-o-lok and endo-loop are safe for appendicular stump closure.
• Hem-o-lok demonstrates advantages in ease of use and cost-effectiveness.
• Hem-o-lok is a viable and potentially superior alternative for laparoscopic appendectomy stump closure.