The Use of the Hem-o-lok Clip in Appendectomy: Single or Double?

Comparison of Single and Double Hem-o-log Clips in Laparoscopic Appendectomy

Stump safety is provided by different methods in laparoscopic appendectomy. Stapler use, binding with endoloop and nonabsorbable clip are the most common methods. Although the stapler is safe, it creates a significant cost increase. In connecting with the endoloop, the learning curve and surgical time are longer. Nonabsorbable clip application which has been used recently; Urethra was also used in appendectomy after its safety has been proven by large studies to close cystic ducts and vascular structures. Its advantages such as low cost, no need for a learning curve and shortening the surgical time have increased the frequency of use.In this prospective observational study; It will be aimed to investigate the effects of stump closure methods applied in laparoscopic appendectomy on short-term clinical results. In addition, the factors that determine the surgeon's stump closure method and cost results will be tried to be determined.

Detailed explanation will be made later if necessary.

Inclusion Criteria

• diagnosis of acute appendicitis
• Performing laparoscopic surgery
• Patients with an ASA score of I-II-III

Exclusion Criteria:

• Appendectomies with the patient's refusal to participate in the study
• Open surgery
• Primary pathology without appendicitis