Single versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial

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dc.authorid0000-0002-3161-0923en_US
dc.authorid0000-0002-9178-7843en_US
dc.authorid0000-0001-9843-6301en_US
dc.authorid0000-0002-5475-7290en_US
dc.contributor.authorAday, Ulaş
dc.contributor.authorÇetin, Erman
dc.contributor.authorKafadar, Mehmet Tolga
dc.contributor.authorOğuz, Abdullah
dc.contributor.authorBahadır, Mehmet Veysi
dc.contributor.authorÜlger, Burak Veli
dc.contributor.authorGedik, Ercan
dc.contributor.authorGirgin, Sadullah
dc.contributor.authorYılmaz, Mehmet
dc.date.accessioned2024-05-02T08:12:01Z
dc.date.available2024-05-02T08:12:01Z
dc.date.issued2024en_US
dc.departmentDicle Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü, Genel Cerrahi Ana Bilim Dalıen_US
dc.description.abstractPurpose: Polymeric clips (Hem-o-lok ligation system) are now widely used to securing the base of the appendix during laparoscopic appendectomy. Studies comparing the use of single or double hem-o-lok clips are limited. The aim of this study was to compare the reliability of a single hem-o-lok clips with a double hem-o-lok clips for closure of an appendiceal stump. Methods: This prospective randomized study includes patients from two centers who underwent laparoscopic appendectomy with the diagnosis of appendicitis between September 2020 and March 2023. Demographic, operative and clinical outcomes of the use of single or double hem-o-lok clips for closure of the appendiceal stump were compared. Factors affecting long postoperative hospital stay were investigated using univariate and multivariate analyzes. Results: One hundred forty two (48.3%) patients in the single hem-o-lok arm and 152 (51.7%) patients in the double hem-o-lok arm were included in the analysis.The shortest operative time was noted in the single hem-o-lok group (52.1 ± 19.9 versus 61.6 ± 24.9 min, p < 0.001). The median hospital stay was 1 day (range 1–10) in the single hem-o-lok group and 1 day (range 1–12) in the double hem-o-lok group, and was shorter in the single hem-o-lok arm (1.61 ± 1.56 vs 1.84 ± 1.69, p = 0.019). Based on multivariate analysis, drain placement was identified as an independent predictive factor for long hospital stay. Conclusions: The use of single hem-o-lok clips for appendiceal stump closure during laparoscopic appendectomy is safe and effective. Trial registration NCT04387370 (http://www.clinicaltrials.gov).en_US
dc.identifier.citationAday, U., Çetin, E., Kafadar, M. T., Oğuz, A., Bahadır, M.V., Ülger, B. V. ve diğerleri. (2024). Single versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial. Langenbeck's Archives of Surgery, 409(1), 1-8.en_US
dc.identifier.endpage8en_US
dc.identifier.issn1435-2443
dc.identifier.issue1en_US
dc.identifier.pmid38457041
dc.identifier.scopus2-s2.0-85186856236
dc.identifier.scopusqualityQ2
dc.identifier.startpage1en_US
dc.identifier.urihttps://link.springer.com/article/10.1007/s00423-024-03281-4
dc.identifier.urihttps://hdl.handle.net/11468/28638
dc.identifier.volume409en_US
dc.identifier.wosWOS:001177792400002
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.institutionauthorAday, Ulaş
dc.institutionauthorKafadar, Mehmet Tolga
dc.institutionauthorBahadır, Mehmet Veysi
dc.institutionauthorÜlger, Burak Veli
dc.institutionauthorGedik, Ercan
dc.institutionauthorGirgin, Sadullah
dc.institutionauthorYılmaz, Mehmet
dc.institutionauthorOğuz, Abdullah
dc.language.isoenen_US
dc.publisherSpringer Science and Business Media Deutschland GmbHen_US
dc.relation.ispartofLangenbeck's Archives of Surgery
dc.relation.isversionof10.1007/s00423-024-03281-4en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectApendiceal stump closureen_US
dc.subjectHem-o-lok clipsen_US
dc.subjectLaparoscopic appendectomyen_US
dc.subjectSingle clipsen_US
dc.titleSingle versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trialen_US
dc.titleSingle versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial
dc.typeArticleen_US

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