Comparative Study of the Clinical Outcome of Retrograde Laparoscopic Appendicectomy Using a Single Polymer Clip for Complicated Versus for Non-Complicated Appendicitis
Basem Mohamed Sieda*
Department of General Surgery, Zagazig University Hospitals, Zagazig, Egypt
- *Corresponding Author:
- Basem Mohamed Sieda, MD
Department of General Surgery
Zagazig University hospitals, Zagazig
13 El Hasn Ben Elhaithem st, El Kawmia
Zagazig, Sharkia, Egypt
Tel: 201000089500, 201200016007
E- mail: [email protected] , [email protected]
Received date: January 17, 2016; Accepted date: March 02, 2016; Published date: March 11, 2016
Citation:Sieda BM (2016) Comparative Study of the Clinical Outcome of Retrograde Laparoscopic Appendicectomy Using a Single Polymer Clip for Complicated Versus for Non-Complicated Appendicitis. Surgery Curr Res 6:263. doi:10.4172/2161-1076.1000263
Copyright: © 2016 Sieda BM. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
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 one patient in group II. Operative time was less in Group II. The difference in conversion rates and post-operative complication between two groups is statisticallynot significant with a P value> 0.05. Conclusion Retrograde laparoscopic appendicectomy using single polymer clip make easy access operating complicated as well as non-complicated appendicitis.