“STUDY OF SINGLE HEM-O-LOK CLIPS V/S ROEDER ‘S KNOT IN LAPAROSCOPIC APPENDICEAL STUMP CLOSURE”

Abstract

Introduction: Acute appendicitis, a common emergency surgery condition, requires laparoscopic appendectomy. However, it has drawbacks like longer surgery time, increased costs, and intra-abdominal abscesses. This study compares two methods for appendiceal stump closure in Laparoscopic Appendectomy: extracorporeal Roeder's knot and polymeric Hem-o-lok clip. Aims: This study compares the use of Hem-O-Lock and Roger's Knot in laparoscopic appendiceal step closure, aiming to compare intra-operative, post-operative, and hospital stays. Methodology: The study examines surgical techniques used for appendectomy in acute appendicitis patients at KVVDU hospital Karad. It involved 100 patients aged 18-60 years, with 50 using Single Hem-O-Lok clips and Roeder's knot for stump closure. The procedure involved classical three-port technique and 2/0 ethilon suture. Results: The study compared Laparoscopic Appendiceal Stump Closure techniques using single Hem-O-Lok Clips and Roeders Knot, involving 50 patients. Intraoperative and post-operative complications were 12%, 8%, and 4% respectively, with hospital stays 2.4 and 2.26 days.
Discussion: Acute appendicitis is a common surgical emergency, with the Hem-o-lok clip being a safe, simple, and non-absorbable method that doesn't significantly differ in complications during surgery.
Conclusion: The study found that appendicular base closure using hem-o-lok clip or Roeders knot is effective during Laparoscopic appendectomy without significant differences in intra-operative and post-operative complications or hospital stay.