Analysis of intracorporeal knotting with invaginating suture versus endoloops in appendiceal stump closure
| Autor: | Mindaugas Kiudelis, Povilas Ignatavicius, Saulius Grizas, Kristina Zviniene |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Urology Perforation (oil well) 616.346.2-002-089 [udc] endoloop Appendicitis Surgery Appendectomy Methods Laparoscopy Suture techniques Surgical stapling laparoscopic appendectomy invaginating suture Suture (anatomy) Acute Perforated Appendicitis medicine Postoperative results Abscess Original Paper appendiceal stump closure medicine.diagnostic_test business.industry Gastroenterology Obstetrics and Gynecology medicine.disease Appendiceal stump business |
| Zdroj: | Videosurgery and other Miniinvasive Techniques Wideochirurgia i inne techniki małoinwazyjne = Videosurgery and other miniinvasive techniques, Poznań : Termedia Publishing House, 2013, vol. 8, no. 1, p. 69-73 |
| ISSN: | 1895-4588 |
| Popis: | A b s t r a c t Introduction: Laparoscopic appendectomy is a well-described surgical technique and has gained wide clinical accept - ance. Laparoscopic appendectomy offers fewer wound infections, faster recovery and an earlier return to work in com - parison to open surgery. However, concerns still exist regarding the appendiceal stump closure. Aim: The aim of this study was to compare the overall incidence and specific intraoperative and postoperative com - plications after application of intracorporeal knotting with invaginating suture versus endoloops for stump closure in laparoscopic appendectomy. Material and methods: One hundred fifty two consecutive patients according to the following inclusion criteria were included in the study: 1. Laparoscopic appendectomy was performed during the study period; 2. Acute phlegmonous or gangrenous appendicitis without perforation was diagnosed during operation. Exclusion criteria - patients with acute perforated appendicitis and local or diffuse peritonitis. Data was grouped according to the appendiceal stump closure technique, with either endoloops - 112 patients (73.7 percent) or intracorporeal knotting with invaginating suture - 40 patients (26.3 per cent). The primary outcome measure was the rate of intraabdominal surgical-site infec - tion, defined as post-operative intra-abdominal abscess. Secondary outcome variables were intraoperative and post - operative complications, duration of operation, hospital stay. Results: There were no significant differences between the two groups in overall intraoperative and postoperative complications rate and in hospital stay. The median duration of operation was significantly shorter when the endoloop was used. The use of intracorporeal knotting with invaginating suture instead of endoloop to close the appendiceal stump decreased the total cost of laparoscopic appendectomy. Conclusions: According our study results, intracorporeal knotting with invaginating suture appendiceal stump closure technique is acceptable laparoscopic procedure, which intraoperative and postoperative results do not differ from endoloops technique. The total cost of this procedure is 80 € cheaper then endoloops technique. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|