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

NCT ID: NCT04387370

Last Updated: 2023-04-19

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 120 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2020-09-01
• Study Completion Date: 2023-04-18

Brief Summary

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 Description

Detailed explanation will be made later if necessary.

Conditions

Acute Appendicitis

Study Design

• Observational Model Type: CASE_CONTROL
• Study Time Perspective: PROSPECTIVE

Eligibility Criteria

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

• Minimum Eligible Age: 18 Years
• Maximum Eligible Age: 100 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Ulas Aday

OTHER_GOV

Sponsor Role: lead

Responsible Party

Ulas Aday

Assistant professor

Responsibility Role: SPONSOR_INVESTIGATOR

Principal Investigators

Abdullah Oğuz, MD

Role: PRINCIPAL_INVESTIGATOR

Dicle University Medical of School

Ulaş Aday, MD

Role: STUDY_CHAIR

Dicle University Medical of School

Mehmet veysi Bahadır, MD

Role: STUDY_DIRECTOR

Dicle University Medical of School

Locations

Dicle University Medical of School, Department of Gastrointestinal Surgery

Diyarbakır, , Turkey (Türkiye)

Countries

Turkey (Türkiye)

References

Aday U, Cetin E, Kafadar MT, Oguz A, Bahadir MV, Ulger BV, Gedik E, Girgin S, Yilmaz M. Single versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial. Langenbecks Arch Surg. 2024 Mar 8;409(1):89. doi: 10.1007/s00423-024-03281-4.

Reference Type: DERIVED

PMID: 38457041 (View on PubMed)

Other Identifiers

'KartalH'

Identifier Type: -

Identifier Source: org_study_id