Securing the Appendiceal Stump During Emergency Appendicectomy: Options and Influencing Factors in Current UK Surgical Practice
| Autor: | Vaughan-Shaw P, Wilson Msj, Knight |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
medicine.medical_specialty
Consultants Surgicenters Specialty 030230 surgery Endoscopy Gastrointestinal Emergency appendicectomy 03 medical and health sciences 0302 clinical medicine Medicine Appendectomy Humans CLIPS Practice Patterns Physicians' Emergency Treatment Ligation computer.programming_language Surgical research Surgeons business.industry Wound Closure Techniques General surgery Appendicitis Surgical Instruments United Kingdom Wound Closure Technique Appendiceal stump Acute Disease 030211 gastroenterology & hepatology Surgery Clinical Competence business computer |
| Zdroj: | Surgical laparoscopy, endoscopypercutaneous techniques. 28(4) |
| ISSN: | 1534-4908 |
| Popis: | INTRODUCTION The aim of our study was to identify the most commonly employed methods and influencing factors for securing the appendiceal stump in current NHS practice. METHODS An electronic survey of the Scottish Surgical Research Group network, invitation extended to the UK National Research Collaborative. RESULTS A total of 111 responses were received from 32 surgical centers; 28 (25.2%) consultants, 66 (59.5%) specialty trainees and 12 (10.8%) core trainees. Endoscopic ligatures were the preferred method in 96 (86.5%) with no difference in those with the greatest operative experience (P=0.79), 12 (10.8%) preferred polymeric clips. Ease of application (70.3%) and severity of stump inflammation (65.8%) had the greatest influence on the method chosen. Cost was a factor in 36.0%. CONCLUSIONS The preferred method for securing the appendiceal stump in UK practice is endoscopic ligatures regardless of operative experience. Factors with the greatest influence on the method employed include the ease of application and severity of stump inflammation. Our findings are likely to be representative of current NHS practice in Scotland. |
| Databáze: | OpenAIRE |
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