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

Comparison of Single and Double Hem-o-log Clips in Laparoscopic Appendectomy

Status

Completed

Phases

Unknown

Study type

Observational

Source

ClinicalTrials.gov

Registry ID

NCT04387370

Enrollment

120

Registered

2020-05-13

Start date

2020-09-01

Completion date

2023-04-18

Last updated

2023-04-19

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Acute Appendicitis

Keywords

Laparoscopic appendectomy, Hem-o-lok clip, stump closure

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.

Interventions

None listed

Study design

Observational model

CASE_CONTROL

Time perspective

PROSPECTIVE

Eligibility

Sex/Gender

ALL

Age

18 Years to 100 Years

Healthy volunteers

Inclusion criteria

* diagnosis of acute appendicitis * Performing laparoscopic surgery * Patients with an ASA score of I-II-III

Exclusion criteria

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

Design outcomes

Primary

Measure	Time frame	Description
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

Measure	Time frame	Description
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.

Countries

Turkey (Türkiye)

Outcome results