Our Summary

This study looked at two different methods used to close off the appendix during a laparoscopic appendectomy (a type of surgery to remove the appendix). The two methods are called the Endoloop and the Hem-o-lok. The researchers wanted to see if one method was better than the other in terms of safety, ease of use, cost, and patient recovery.

So, they looked at the medical records of patients who had this type of surgery at their hospital between 2010 and 2015. Some patients had their appendix closed off with the Endoloop (group I) and others had it done with the Hem-o-lok (group II).

The team then compared different factors between the two groups: any complications that happened during or after surgery, how long the surgery took, how long the patients stayed in the hospital, and the cost of each method.

The results showed that both methods are safe, with no life-threatening complications or deaths in either group. The average surgery time was a bit shorter with the Hem-o-lok (36.4 minutes) compared to the Endoloop (40.5 minutes), but the length of the hospital stay was about the same for both groups. Neither group had to be readmitted to the hospital after being discharged.

The cost of the Hem-o-lok was lower than the Endoloop. So, the researchers concluded that while both methods are safe and effective, the Hem-o-lok may be a better choice because it’s easier to use, cheaper, and the surgery time is slightly shorter.

FAQs

  1. What were the two methods used for closing the appendicular stump during laparoscopic appendectomy in the study?
  2. How did the safety and effectiveness of the Hem-o-lok clip compare to the Endoloop in the study?
  3. Was there a difference in cost between using the Hem-o-lok clip and the Endoloop for appendicular stump closure?

Doctor’s Tip

One helpful tip a doctor might tell a patient about appendectomy is to follow post-operative care instructions carefully, including taking any prescribed medications, avoiding strenuous activities, and watching for signs of infection such as fever, increased pain, or redness/swelling at the incision site. It is also important to attend all follow-up appointments to ensure proper healing and recovery.

Suitable For

Patients who are typically recommended for appendectomy are those who are diagnosed with acute appendicitis. This includes patients who present with symptoms such as abdominal pain, fever, nausea, vomiting, and a high white blood cell count. In some cases, patients with a history of recurrent appendicitis or a perforated appendix may also be recommended for appendectomy. Additionally, patients with complications such as abscess formation or peritonitis may require urgent appendectomy. Overall, the decision to recommend appendectomy is based on the severity of the patient’s symptoms and the presence of complications.

Timeline

  • Patient experiences abdominal pain, nausea, and vomiting leading to a visit to the emergency room
  • Patient undergoes diagnostic tests such as physical examination, blood tests, and imaging studies to confirm appendicitis
  • Patient is scheduled for laparoscopic appendectomy surgery
  • Patient undergoes preoperative preparations such as fasting and anesthesia administration
  • During surgery, the surgeon closes the appendicular stump using either an Endoloop or Hem-o-lok clip
  • Patient is monitored in the recovery room before being transferred to a hospital room
  • Patient is discharged from the hospital after a few days of recovery
  • Patient follows postoperative instructions for pain management, wound care, and activity restrictions
  • Patient returns for follow-up appointments to monitor healing and ensure no complications arise.

What to Ask Your Doctor

  1. What are the potential risks and complications associated with an appendectomy procedure?
  2. How will the appendicular stump be closed during the laparoscopic appendectomy - with an Endoloop or Hem-o-lok clip?
  3. What are the differences between using an Endoloop and a Hem-o-lok clip for closing the appendicular stump?
  4. Are there any specific benefits or advantages to using a Hem-o-lok clip over an Endoloop for this procedure?
  5. How long is the typical recovery time after a laparoscopic appendectomy using a Hem-o-lok clip for closure?
  6. Will there be any restrictions on activities or diet following the appendectomy procedure?
  7. What should I watch for in terms of signs of infection or other complications after the surgery?
  8. Are there any long-term effects or considerations to be aware of after having an appendectomy?
  9. How often will follow-up appointments be needed after the surgery, and what will be checked during these visits?
  10. Are there any additional resources or information available to help me understand the appendectomy procedure and what to expect during recovery?

Reference

Authors: Lucchi A, Berti P, Grassia M, Siani LM, Gabbianelli C, Garulli G. Journal: Updates Surg. 2017 Mar;69(1):61-65. doi: 10.1007/s13304-016-0413-9. Epub 2016 Dec 24. PMID: 28013455