التفاصيل البيبلوغرافية
| العنوان: |
Handmade Loop Versus Hem-o-Lok Clip in Closure of Appendiceal Stump During Laparoscopic Appendectomy: Limited Setting in a Peripheral University Hospital. |
| المؤلفون: |
Yildirim M; Department of General Surgery, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye., Koca B; Department of General Surgery, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye., Tufekci MF; Department of General Surgery, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye., Saglam AI; Department of General Surgery, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye., Ozkan N; Department of General Surgery, Faculty of Medicine, Tokat Gaziosmanpasa University, Tokat, Türkiye. |
| المصدر: |
Journal of laparoendoscopic & advanced surgical techniques. Part A [J Laparoendosc Adv Surg Tech A] 2024 Sep; Vol. 34 (9), pp. 822-828. Date of Electronic Publication: 2024 May 21. |
| نوع المنشور: |
Journal Article; Comparative Study |
| اللغة: |
English |
| بيانات الدورية: |
Publisher: Mary Ann Liebert, Inc Country of Publication: United States NLM ID: 9706293 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1557-9034 (Electronic) Linking ISSN: 10926429 NLM ISO Abbreviation: J Laparoendosc Adv Surg Tech A Subsets: MEDLINE |
| أسماء مطبوعة: |
Original Publication: Larchmont, NY : Mary Ann Liebert, Inc., c1997- |
| مواضيع طبية MeSH: |
Appendectomy*/methods , Appendectomy*/economics , Appendectomy*/instrumentation , Laparoscopy*/methods , Laparoscopy*/economics , Appendicitis*/surgery, Humans ; Female ; Male ; Adult ; Middle Aged ; Aged ; Young Adult ; Adolescent ; Aged, 80 and over ; Hospitals, University ; Surgical Instruments/economics ; Operative Time ; Retrospective Studies ; Length of Stay/statistics & numerical data |
| مستخلص: |
Background: Today, laparoscopy is frequently used in abdominal emergencies such as acute appendicitis. There are several techniques used to close the appendiceal stump during laparoscopic appendectomy. We aimed to compare the use of handmade loop and Hem-o-lok used to close the appendiceal stump in public hospitals where resources are limited, in terms of surgical outcomes and cost. Methods: Between January 2020 and December 2022, patients for whom handmade loops and Hem-o-loks were used to close the appendiceal stump during laparoscopic appendectomy in our clinic were included in the study. There were a total of 638 patients (mean age: 33 ± 13.5 years, 325 females and 313 males) in the patient cohort. Demographic and clinical data, duration of surgery, complications, hospital stay, pathology reports, mortality, and cost of supplies were compared between the two groups. Results: There were 308 patients in the handmade loop group (160 females, 148 males, mean age: 33.7 years, range: 18-85 years) and 330 patients in the Hem-o-lok group (166 females, 164 males, mean age: 32.5 years, range: 18-89 years). There was no significant difference between the two groups for American Society of Anesthesiologists score, duration of symptom, hospital stay, intensive care unit stay, preoperative laboratory values, histopathological results, mortality, and morbidity ( P > .05). The mean operation time was 48.76 ± 16.16 minutes in the handmade loop group and 40.53 ± 11.63 minutes in the Hem-o-lok group ( p = 0.001). In terms of cost, the cost per case of Hem-o-lok group was about 25.8 times as much as the group that used sutures ($31 versus $1.2). Conclusions: Both methods can be used safely in laparoscopic appendectomy. The use of Hem-o-lok has no advantage other than shortening the operation time. However, it is costlier. Especially in peripheral hospitals where resources are limited, closing the appendiceal stump using a handmade loop is an easy, safe, and cost-effective method. |
| فهرسة مساهمة: |
Keywords: cost-effective; handmade loop; hem-o-lok; laparoscopic appendectomy |
| تواريخ الأحداث: |
Date Created: 20240521 Date Completed: 20240917 Latest Revision: 20240917 |
| رمز التحديث: |
20240918 |
| DOI: |
10.1089/lap.2024.0132 |
| PMID: |
38770657 |
| قاعدة البيانات: |
MEDLINE |
