The Use of the Hem-o-lok Clip in Appendectomy: Single or Double?

Completed

• Conditions: Acute Appendicitis

• Registration Number: NCT04387370
• Lead Sponsor: Ulas Aday

Brief Summary

Stump safety is provided by different methods in laparoscopic appendectomy. Stapler use, binding with endoloop and nonabsorbable clip are the most common methods. Although the stapler is safe, it creates a significant cost increase. In connecting with the endoloop, the learning curve and surgical time are longer. Nonabsorbable clip application which has been used recently; Urethra was also used in appendectomy after its safety has been proven by large studies to close cystic ducts and vascular structures. Its advantages such as low cost, no need for a learning curve and shortening the surgical time have increased the frequency of use.In this prospective observational study; It will be aimed to investigate the effects of stump closure methods applied in laparoscopic appendectomy on short-term clinical results. In addition, the factors that determine the surgeon's stump closure method and cost results will be tried to be determined.

Detailed Description

Detailed explanation will be made later if necessary.

Study Timeline

• Study First Submitted: 2020-04-29
• Study First Submitted QC: 2020-05-12
• Study First Posted: 2020-05-13
• Study Start: 2020-09-01
• Primary Completion: 2023-01-31
• Status Verified: 2023-04
• Last Update Submitted: 2023-04-17
• Study Completion: 2023-04-18
• Last Update Posted: 2023-04-19

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 120

Inclusion Criteria

Not provided

Exclusion Criteria

• Appendectomies with the patient's refusal to participate in the study
• Open surgery
• Primary pathology without appendicitis

Study & Design

• Study Type: OBSERVATIONAL
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
Is it safe to close the appendix stump with a single hem-o-lok clip?	one year	Complications of patients using single and double clips will be compared according to Clavien-Dindo scoring system.

Secondary Outcome Measures

Name	Time	Method
The effect of single and double hem-o-lok clips on cost in laparoscopic appendectomy	one week	With the use of a single clip, surgery costs are expected to be less in dollars.Student's t-test will be used for cost analysis.

Trial Locations

Locations (1)

Dicle University Medical of School, Department of Gastrointestinal Surgery; 🇹🇷 Diyarbakır, Turkey