The feasibility of bipolar tissue sealer for appendix stump closure
MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES, vol.24, no.6, pp.377-380, 2015 (SCI-Expanded, Scopus)
- Publication Type: Article / Article
- Volume: 24 Issue: 6
- Publication Date: 2015
- Doi Number: 10.3109/13645706.2015.1054839
- Journal Name: MINIMALLY INVASIVE THERAPY & ALLIED TECHNOLOGIES
- Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus
- Page Numbers: pp.377-380
- Keywords: Bipolar sealer, appendectomy, burst pressure, LAPAROSCOPIC APPENDECTOMY, CLIP, LIGATURE
- Akdeniz University Affiliated: Yes
Abstract
Background: Appendiceal stump closure is a highly important step in laparoscopic appendectomy, especially for post-operative complications. The aim of this study is to compare the effects of suture ligation and bipolar tissue sealer techniques on burst pressure using flesh appendectomy specimens. Material and methods: Appendectomy specimens of 32 patients with grade I-II disease were included in the study. Perforated or necrotic appendices and specimens ineligible for pressure measurement were excluded from the study. Appendiceal stumps of 16 patients in group 1 were double-ligated with 2/0 polyglactin sutures, then appendectomy was performed between these sutures. In group 2, the management of the stump was performed through single ligation with polyglactin suture, followed by appendectomy using a bipolar tissue sealing device. Burst pressures were recorded for all specimens. Results: There were no differences between groups in terms of age and sex. There was no significant difference between the two groups in terms of burst pressure (p = 0.92). Also, no significant difference was found between groups in terms of localization of the perforation (p > 0.05). Conclusion: Bipolar tissue sealer achieves safe stump closure with satisfactory burst pressure values. Based on this, using bipolar tissue sealer for appendiceal stump closure in appendicitis may be safe and reliable.