Related Experiment Video
Updated: Oct 2, 2025
Laparoscopic Anterior Right Hepatectomy: A Single-Center Experience
Published on: December 4, 2023
Manual loop in laparoscopic appendectomy: A retrospective cohort study and literature review
Priyanka Ramesh1, Aniqa Saeed2, Muniza Nusrat1
1Department of General Surgery, Patel Hospital, Karachi, Pakistan.
Objectives:
To determine the incidence of complications [Surgical site infection (SSI), intra-abdominal abscess (IAA), stump leak] related to stump ligation with manual loop of sliding extracorporeal suture knot in laparoscopic appendectomy.
Methods:
This cohort study was conducted on patients who underwent laparoscopic appendectomy from June 2014 to November 2020 performed by the same surgeon with almost similar technique. Stump was ligated with manual loops, applied by the surgeon or trainee or both (one by surgeon and other by trainee). SSI and IAA were classified according to Centers for Disease Control and Prevention (CDC) criteria.
Results:
Total 120 patients were included with median (Interquartile range, IQR) age of 24 (19-35) years and male predominance i.e. 81 (67.5%). Median (IQR) for the duration of symptoms, time from presentation to surgery and duration of surgery was 2(1-4) days, 10 (4-15) hours and 60 (44-70) minutes, respectively. SSI was documented in 9(7.5%) patients, managed by wound hygiene and antibiotics. IAA was observed in one(0.8%) patient who required readmission for antibiotics and radiology guided drain placement. No stump leak was observed.
Conclusions:
Manual endo-loop is a safe, reliable and cost effective technique for stump ligation in LA, and can safely be incorporated into teaching of surgical trainees.
Insights
Manual endo-loop ligation in laparoscopic appendectomy (LA) is safe and effective. This technique showed low rates of surgical site infection (SSI) and intra-abdominal abscess (IAA), with no stump leaks observed.
Area of Science:
- Surgical innovation
- Minimally invasive surgery
- Gastrointestinal surgery
Background:
- Laparoscopic appendectomy (LA) is a standard procedure.
- Effective stump ligation is crucial to prevent complications.
- Manual endo-loop offers a potential solution for stump closure.
Purpose of the Study:
- To evaluate the incidence of complications associated with manual endo-loop stump ligation in LA.
- To assess the safety and reliability of this technique.
Main Methods:
- A cohort study of 120 patients undergoing LA between June 2014 and November 2020.
- Stump ligation performed using manual loops by a surgeon and/or trainees.
- Complications including surgical site infection (SSI) and intra-abdominal abscess (IAA) classified by CDC criteria.
Main Results:
- Surgical site infection (SSI) occurred in 7.5% of patients.
- Intra-abdominal abscess (IAA) was observed in 0.8% of patients.
- No stump leaks were documented during the study period.
Conclusions:
- Manual endo-loop ligation is a safe, reliable, and cost-effective method for stump closure in LA.
- The technique is suitable for training surgical residents.
More Related Videos
08:26Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction
Published on: March 24, 2023
03:33Author Spotlight: Advancing Hepatobiliary and Pancreatic Tumor Treatment with Minimally Invasive Surgical Techniques
Published on: September 27, 2024
