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Clinical Utility of a Small Diameter Reload in Pediatric Appendectomies
Elisabeth T Tracy1, Sabino Zani2, Neetha P Desai3
1Department of Pediatric Surgery, Duke University School of Medicine, Chapel Hill, North Carolina, USA.
Introduction:
Appendectomies are common among pediatric patients. This study aimed to assess the safety and utility of a two-row stapler reload in pediatric appendectomies.
Methods:
A prospective registry was used to collect study data at two U.S. centers to evaluate Signia™ Small Diameter Reload (SDR) ligating the appendiceal stump and mesoappendix. Incidence of hemostatic and leak interventions was collected as the primary measure.
Results:
SDR was fired 100 times across 95 patients with no intervention needed for hemostatic or leaks due to staple-line integrity concerns or device failures. No device-related complications or deficiencies occurred within 30 days of the operation.
Conclusion:
The two-row stapler reload demonstrated safety and efficacy in pediatric appendectomies. Outcomes were consistent across patient age, patient weight, type of appendicitis, and stapler handle used.
