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Deprecated: Implicit conversion from float 211.6 to int loses precision in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 534 Ulus+Cerrahi+Derg 2015 ; 31 (4): 229-31 Nephropedia Template TP
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Methods for closure of appendix stump during laparoscopic appendectomy procedure #MMPMID26668532
Mayir B; Ensari CÖ; Bilecik T; Aslaner A; Oruç MT
Ulus Cerrahi Derg 2015[]; 31 (4): 229-31 PMID26668532show ga
The most frequent abdominal pathology requiring emergent surgery is acute appendicitis. Laparoscopic appendectomy has been performed for the treatment of acute appendicitis since 1983. Closure of the appendix stump is vital to prevent severe postoperative complications. Different methods are described for closure such as stapler, endoloop, titanium clips, non-absorbable polymer clips (hem-o-lok clip), handmade loops, transsection by Ligasure or with bipolar cautery. The ideal method should be safe, applicable and cheap. The most appropriate method remains to be controversial. All methods are reported as safe, but some have higher costs, and some prolong the operation. In this article, we reviewed clinical and experimental studies on different methods of stump closure, and we tried to compare the benefit of these methods over others.