Appendicitis
Conditions
Keywords
Laparoscopic appendectomy, appendical stump closure
Brief summary
Laparoscopic appendectomy is progressively accepted as the treatment of choice for acute appendicitis. Although the surgical technique of laparoscopic appendectomy has been well established, some controversy exists regarding the closure of the appendiceal stump. The available methods for stump closure are currently: pre-knotted loops (Roeder Loops or Endoloop, linear stapler and polymeric clips. A new device is a the DS Titanium Ligation Clip. The design of the DS-Clip is characterized by two parallel shanks. The aim of this study is to collect data of a large number of patients treated with the product in real-life clinical routine.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
Inclusion: * indication for a laparoscopic appendectomy * informed consent Inclusion criteria to be checked intraoperatively: * conventional laparoscopic approach (no SILS, NOTES, SPA) * Aesculap DS Titanium Ligation Clips were used Exclusion: * patient age under 16 years * appendix is severely inflamed with involvement of the caecum
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Applicability/feasibility of the DS Clips | 30 days after surgery | Documentation of the number of successful (= completed stump closure) versus non-successful (= clip could not be applied) applications of the DS-Clip |
Secondary
| Measure | Time frame |
|---|---|
| Intra- and post-operative complications related to surgery | 30 days after surgery |
| Duration of operation | intra-operative |
| Conversion rate to open surgery | 30 days |
| Length of hospitalization | 30 days |
Countries
Germany, United States