Burhan Mayir, Cemal Özben Ensari, Tuna Bilecik, Arif Aslaner, Mehmet Tahir Oruç

Abstract

Most frequent abdominal pathology requiring emergent surgery is acute appendicitis. Laparoscopic Appendectomy has been performed for acute appendicitis treatment since 1983. Closure of stump of appendix is important for prevention of severe post operative complications. Different methods are described for closure such as; stapler, endoloop, titanium clips, non absorbable polymer clips (hem o lock clip), hand made loop, ligasure usage or just cutting with bipolar cautery. It is unclear that which method is most appropriate. In researches, all methods are reported as safe but some have higher costs, some prolongs duration of operation. In this article we reviewed clinical and experimental studies about different methods of stump closure, and we tried to compare advantage of methods in between.

Keywords: Laparoscopic appendectomy, acute appandicite, endostapler, endoloop, hand-made loop


 

Peer Review

This manuscript was prepared by the invitation of the Editorial Board and its scientific evaluation was carried out by the Editorial Board.

Author Contributions

Concept - B.M.; Design - B.M.; Supervision - B.M., M.T.O.; Funding - B.M., T.B.; Materials - B.M.; Data Collection and/or Processing - B.M., C.Ö.E., A.A.; Analysis and/or Interpretation - B.M., C.Ö.E., T.B., A.A., M.T.O.; Literature Review - B.M., A.A.; Writer - B.M.; Critical Review - B.M., C.Ö.E., T.B., A.A., M.T.O.

Conflict of Interest

No conflict of interest was declared by the authors.

Financial Disclosure

The authors declared that this study has received no financial support.