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Corresponding Author

Omar, Mostafa

Document Type

Original Article

Abstract

Background: The most prevalent commo etiology of acute abdomen is appendicitis; Laparoscopic appendectomy was made possible due to advancements in endoscopic surgery. Increased numbers of laparoscopic appendectomies have been conducted during the last few decades, with devices like loops, clips, and endoscopic staplers commonly used. Aim of the work: To assess the safety, time, difficulty, and post-operative consequences of clipping versus ligation of the appendiceal stump. Patients and methods: Studu was conducted from march 2021 to September 2021 at G.S department Al-Azhar University Hospital. A total of 40 people with acute appendicitis were included in the study. Two equal groups of patients were categorized: As an example, a laparoscopic appendectomy with clips vs a laparoscopic appendectomy with ligatures. Results: Forty patients who underwent laparoscopic appendectomy, 20 of whom had Ligation and the other had Clipping of Appendicular Stump, participated in the research over the time period examined. It is safe and successful to use an endoclip to close the appendicular stump in complex cases of acute appendicitis, Clip application is associated with shorter operative times, easier application, and less difficulty for trainees than ligation methods, which need more experience and training. Conclusion: The appendicular stump was held in place using ligation and clipping procedures, which were both safe, successful with low serious outcomes. The use of clips saves time during surgery, is quicker to apply, and is simpler for trainees to learn than ligation techniques, which necessitate previous expertise with a huge, hard, and friable appendiceal stump.

Keywords

Laparoscopic; Appendectomy; CLIP; Ligature

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