Basem Mohamed Sieda
Zagazig University Hospitals,
Zagazig, 13 El Hasn Ben Elhaithem st, El Kawmia, Zagazig, Sharkia
Egypt
Research Article
Comparative Study of the Clinical Outcome of Retrograde Laparoscopic Appendicectomy Using a Single Polymer Clip for Complicated Versus for Non-Complicated Appendicitis
Author(s): Basem Mohamed SiedaBasem Mohamed Sieda
Objective To evaluate the clinical outcome of using single Hem-O-Lock polymer clip and compare technical feasibility of retrograde laparoscopic appendicectomy for complicated versus non-complicated appendicitis in adults. Methods A single institute prospective study of 78 patients presenting with acute appendicitis, Only 60 patients were eligible, 3 port retrograde laparoscopic appendicectomy were used in both groups and a single Hem-O-Lock polymer clip applied to secure the appendicular stump. The primary clinical outcome was the severity of pain at 1-7 days. Secondary outcomes included the duration of operation (minutes), procedure-related complications, conversion rates and length of hospital stay. Results Four patients (15.4%) were converted to open surgery, three in group I and one patient in group II. Four patients developed postoperative complications, three in group I and.. View More»
