N/A
N=120
Influence of the Different Ways of Appendix Stump Closure on Patient Outcome in Laparoscopic Appendectomy
Appendicitis
Bottom Line
View on ClinicalTrials.gov: NCT02941640 ↗Enrolled (actual)
120
Serious AEs
0.0%
Results posted
Jun 2017
Primary outcome: Primary: Overall Morbidity — 0; 0; 0; 0 Participants
Study Design & Population
- Study type
- Interventional
- Phase
- N/A
- Interventions
- E group (Procedure); S group (Procedure); H group (Procedure); DS group (Procedure); Endoloop (Device); Stapler (Device); Hem-o-lok clip (Device); DS clip (Device)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- University Clinical Center Tuzla
- Primary completion
- Dec 2016
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Overall Morbidity |
0; 0; 0; 0 | — |
| SECONDARY Intra-perative Complications |
0; 0; 0; 0 | — |
| SECONDARY Postoperative Complications |
0; 0; 0; 0 | — |
| SECONDARY Operative Time |
46.0; 39.37; 42.83; 47.47 | <0.0001 sig |
| SECONDARY Time of Application |
195.50; 19.87; 63.90; 63.77 | <0.0001 sig |
| SECONDARY Hospital Stay |
2.17; 2.20; 2.23; 2.37 | — |
Summary
During laparoscopic appendectomy, the base of the appendix is usually secured by an endoloop ligature or the stapler. Non-absorbable plastic hem-o-lok clip was shown as an alternative technique with which laparoscopic appendectomy was done faster and cheaper than the standard techniques. However, biocompatibility of different materials udes in securing the base of appendix is different. It was observed that stapler's clips made by titanium caused the mildest inflammatory reaction and creation of adhesions. Disadvantages of stapler's are their high price.
Titanium clips made for the use in laparoscopic appendectomy are safe and effective option in securing the appendicular stump in laparoscopic appendectomy. They have potential advantages over stapler, because they have the same bio compatibility, and their price is lower.
Eligibility Criteria
Inclusion Criteria
- Patient with accute appendicits
Exclusion Criteria
- Patient younger than 18 years
Data sourced from ClinicalTrials.gov (NCT02941640). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.