Ligation versus clipping of the appendicular stump in laparoscopic appendectomy: an ongoing predicament

Anil Negi; Sudesh Kumar Sagar; Punit Kumar; Mohnish Jha; Apurav Gupta; Virat Bhatia; Sankalp Agarwal

doi:10.18203/2349-2902.isj20253023

Authors

Anil Negi Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Sudesh Kumar Sagar Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Punit Kumar Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Mohnish Jha Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Apurav Gupta Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Virat Bhatia Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India
Sankalp Agarwal Department of General Surgery, SRMS-IMS, Bareilly, Uttar Pradesh, India

DOI:

https://doi.org/10.18203/2349-2902.isj20253023

Keywords:

Appendicular base, Clipping, Laparoscopic appendectomy, Ligation

Abstract

Background: Appendectomy being one of the common surgical emergencies performed either laparoscopically or by open approach. As laparoscopy is replacing open appendectomies with rapid pace, closure of appendix stump base remains a debatable aspect of surgery.

Methods: All the patients fulfilling inclusion criteria of acute appendicitis undergoing laparoscopic appendectomy. Stump of the appendix after appendectomy was closed either by ligation or Titanium clip.

Results: Both the groups were comparable in terms of demographic details. Operating time in the clip group was much less averaging 35.62±8.3 (25-70 mins.) as compared to ligation group which was 46.32±7.8 (35-90 mins.) and which was statistically significant. Illeus being most common post operative complications observed in both the group and was non-significant. One patient in ligation group developed fistula which led to the prolonged hospital stay and readmission but was managed conservatively. Both the groups were comparable in terms of length of hospital stay.

Conclusions: Closure of appendicular stump using titanium clip is an easy, cheap, readily available and reliable option.

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