Maria Mir Jan, Dastgeer Waheed, Abdul Quddus, Wasim Ahmad, Sarah Yunus, Khalid Mahmood

Compare the Outcome of Clips Closure Versus Endoloop Closure of Appendicular Stump

Maria Mir Jan, Dastgeer Waheed, Abdul Quddus, Wasim Ahmad, Sarah Yunus, Khalid Mahmood



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

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