J Med Assoc Thai 2012; 95 (11):7

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Laparoscopic Appendectomy: Results of a New Technique for Stump Management
Jenwitheesuk K Mail, Chotikawanich E , Saeseow O , Thanapaisal C , Punchai S , Paonariang K

Objective: The purpose of the present study was to review a new laparoscopic technique for treatment of appendicitis. An earlier pilot study indicated the safety of the technique in addition to saved time and cost.
Material and Method: The electronic records were analyzed on appendix surgeries performed at our hospital between January 1, 2007 and December 31, 2011.
Results: The 91 patients who had an appendiceal stump closure using clips (viz., the Hem-o-lock clipTM) had a significantly shorter surgery and hospitalization than those whose appendiceal stump was closed using the standard loop strap (EndoloopTM).
Conclusion: The complications between groups were not significantly different and were treated in both groups using conservative management.

Keywords: Laparoscopic appendectomy, Appendiceal stump management, Appendicitis, Appendectomy


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