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Document Type

Original Article

Abstract

Background: Closure of appendicular stump consider an important step in laparoscopic appendectomy by ligatures and clips or by using energy source such as ligasure. Aim of the work: The aim of this study is to evaluate effect of sealing of appendicular stump by a ligasure in comparison to closure by ligature or clips as regard outcome and complications. Patients and Methods: On 60 patients with uncomplicated acute or chronic appendicitis, a prospective study will be carried out. The patients were obtained from surgical department of Al-azhar University Hospitals and Cairo specialized hospital. All patients will get a thorough physical examination, laboratory testing and a pelvic-abdominal ultrasound. Thirty patients will undergo laparoscopic appendectomy employing ligasure, while another thirty patients will receive the using ligature or clips. Patients will be monitored for six months. Detailed analysis of intraoperative findings (operational time and issues), hospital stay, and postoperative complications. Results: A follow up of the patient’s data over six months, we discovered no differences between mechanical closure and ligasure sealing (intraoperative problems or postoperative complications). However, when compared to using a ligature or clips, revealed that using ligasure saved about thirteen minutes of overall operating time. Conclusion: Evaluation of using ligasure or mechanical closure to secure the appendicular stump showed that both methods have a similar reliability and complication rate. But here using of ligasure show save time intra-operatively, easy to apply and the simplicity of techniques but high cost

Keywords

electrical sealing, ligasure; Mechanical closure; lap appendectomy; appendicular stump

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