The use of polymeric clips in securing the appendiceal stump during laparoscopic appendicectomy: a systematic review

European Journal of Trauma and Emergency Surgery : Official Publication of the European Trauma Society
Stephen Robert KnightMichael Samuel James Wilson

Abstract

A key step during laparoscopic appendicectomy is securing the appendiceal stump. This has traditionally been achieved using vicryl endoloops, but increasing evidence suggests that the use of polymeric clips (Hem-o-lok) may be a safe and viable method. Current evidence for its clinical use in laparoscopic appendicectomy is unknown. We performed a systematic review of the literature examining the clinical outcomes of laparoscopic appendicectomy using polymeric clips compared to other methods of stump closure. A systematic literature review based on PRISMA guidelines was performed using MEDLINE, PubMed, EMBASE and Cochrane library databases between 2000 and 2017. All studies analysing appendiceal stump closure during laparoscopic appendicectomy using polymeric clips compared to other methods of stump closure were included. The methodological quality of the included studies was assessed using the Cochrane Handbook for Systematic Reviews. The review was registered with the PROSPERO register of systematic reviews. Ten studies were included, involving 702 patients, 7 of which were prospective studies and 1 a randomised control trial. Polymeric clips were found to be the cheapest method (€20.47 average per patient) and also had the low...Continue Reading

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Citations

Jun 6, 2020·Annals of the Royal College of Surgeons of England·C CurrowUNKNOWN Surgical Trainees East of England Research (STEER) Collaborative
Apr 17, 2020·World Journal of Emergency Surgery : WJES·Salomone Di SaverioFausto Catena
Jun 27, 2019·The Journal of International Medical Research·Raphael Vuille-Dit-BilleStefan Breitenstein
Aug 18, 2020·Annals of Medicine and Surgery·N MakaramM S J Wilson
Jun 8, 2021·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Khalid KhanKhurram Siddique

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