ABSTRACT

Objective: The aim of this study is to compare the outcomes of clip closure versus endoloop closure of appendicular stump. Study Design: Prospective/randomized trial Place and Duration: Study was conducted at Surgical department of Khyber Teaching Hospital Peshawar for six months duration from 1st January to 30th June, 2020. Methods: Total 90 patients of both genders were presented in this study. Patients were aged between 18-60 years. Patients detailed demographics age, sex and BMI were recorded after taking informed consent. Patients of acute appendicitis underwent laparoscopic appendectomy were presented. Patients were equally divided into two groups A and B. Group A had 45 patients underwent for clip closure and group B had 45 patients and received endoloop closure. Post-operative complications, hospital stay and duration of surgery were measured among both groups. Results: Total 54 (60%) patents were females (27 in each group) and 36 (40%) patients were males (18 in each group). Mean age of the patients in group A was 27.2 ± 2.48 years with mean BMI 24.4 ± 4.84 kg/m2. Mean age in group B was 26.7 ± 2.77 years with mean BMI 23.4 ± 6.84 kg/m2. Mean duration of the surgery in group A was 25.2±6.08 minutes while in group B was 34.8±8.45 minutes. Hospital stay of the patients of clips closure was 26 hours and endoloop was 30 hours with no significant difference was observed. There was no any difference observed in post-operative complications between both groups.

Conclusion: We concluded in this study that the clips closure method was safe and effective as compared to endoloop. Post-operative complications decreased by using clip closure. Reduction in operating time was observed in clip closure group while hospital stay was observed same in both groups.

Keywords: Clip closure, Endoloop, Appendicular stump, Appendectomy