Abstract |
We compared 140 appendectomies in a prospective study with regard to length of operation, stay in hospital and intra- and postoperative complications. We operated by four methods and made up four groups, 35 patients in each: (1) application of RODER-loop and manual stump-sinking; (2) application of RODER-loop without manual stump-sinking; (3) application of Endo-GIA; (4) conventional appendectomy according to McBurney. Intraoperative complications occurred mainly in laparoscopic appendectomy, while disturbances of wound-healing were observed mainly in conventional appendectomy. The analysis of postoperative complications in laparoscopic appendectomy showed the most complications in the second group (RODER-loop without stump-sinking), while using the Endo-GIA involved only a little risk. In a clear situs the laparoscopic appendectomy with the RODER-loop with manual stump-sinking is recommended; in cases with a difficult preparation or advanced appendicitis the application of the Endo-GIA is a safe technique with the best results.
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Authors | S Klima, B Schyra |
Journal | Langenbecks Archiv fur Chirurgie. Supplement. Kongressband. Deutsche Gesellschaft fur Chirurgie. Kongress
(Langenbecks Arch Chir Suppl Kongressbd)
Vol. 113
Pg. 556-8
( 1996)
ISSN: 0942-2854 [Print] Germany |
Vernacular Title | Technik und Bedeutung der Stumpfversorgung für das Ergebnis der laparoskopischen Appendektomie. |
PMID | 9101929
(Publication Type: Clinical Trial, Comparative Study, English Abstract, Journal Article, Randomized Controlled Trial)
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Topics |
- Appendectomy
(instrumentation)
- Appendicitis
(surgery)
- Electrocoagulation
(instrumentation)
- Humans
- Intraoperative Complications
(etiology)
- Laparoscopes
- Length of Stay
- Postoperative Complications
(etiology)
- Prospective Studies
- Surgical Staplers
- Suture Techniques
(instrumentation)
- Treatment Outcome
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