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Related Experiment Video

Updated: May 17, 2025

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Nonabsorbable Polymeric Clips for Appendicular Stump Closure during Laparoscopic Appendectomy.

Mohammed S Foula1, Hassan Alsaleem1, Ahmed Eldamati2

  • 1Department of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|April 4, 2025
PubMed
Summary
This summary is machine-generated.

Nonabsorbable polymeric clips (PC) offer a safe and effective alternative for appendicular stump closure during laparoscopic appendectomy (LA). This method is associated with shorter operative times and reduced costs compared to endoloop ligatures (EL).

Keywords:
Acute appendicitisAppendectomyComplicationsEndoloopLaparoscopic appendectomyPolymeric clips

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Area of Science:

  • Surgical Innovation
  • Gastrointestinal Surgery
  • Minimally Invasive Procedures

Background:

  • Acute appendicitis is a leading cause of emergency surgery globally.
  • Laparoscopic appendectomy (LA) is increasingly popular, but stump closure methods vary.
  • Endoloop ligatures (EL) are common but challenging; nonabsorbable polymeric clips (PC) offer a proven alternative.

Purpose of the Study:

  • To compare the efficacy and safety of nonabsorbable polymeric clips (PC) versus endoloop ligatures (EL) for appendicular stump closure during laparoscopic appendectomy (LA).
  • To evaluate operative time, cost-effectiveness, and complication rates associated with each method.

Main Methods:

  • A retrospective comparative cohort study included 483 patients undergoing LA between January 2017 and December 2023.
  • Patients were divided into two groups: Group I (endoloop ligatures, n=313) and Group II (polymeric clips, n=170).
  • Data on operative time, costs, and postoperative complications were analyzed.

Main Results:

  • Laparoscopic appendectomy using polymeric clips (PC) was significantly shorter (70 minutes vs. 75 minutes, P=.03) and less costly ($42.6 vs. $95.8) than using endoloop ligatures (EL).
  • Lower rates of intra-abdominal collection (0.6% vs. 1.6%), localized abscess (0.6% vs. 1%), and hospital readmission (1.18% vs. 3.19%) were observed with PC.
  • Complicated appendicitis and appendix diameter did not significantly differ between groups.

Conclusions:

  • Nonabsorbable polymeric clips (PC) are a safe and feasible option for appendicular stump closure in laparoscopic appendectomy (LA).
  • PC offers advantages in reduced operative time and lower costs.
  • The study supports PC as an effective alternative to traditional methods like EL.