Publication: Use of percutaneous thread loop to hold the vermiform appendix during laparoscopic appendectomy
Date
2007
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
Introduction: Laparoscopic appendectomy, although not as widely performed as laparoscopic cholecystectomy,
it has got definite advantage over the conventional open procedure. Controversy exists regarding the closure of
stump. Our institute practices intracorporeal knot tying using 3 ports. Difficulties are observed in three port
technique to hold the appendix during knot tying. We use a percutaneous thread loop. Advantage of the use of
loop was evaluated.
Patients and method: Prospective study was carried out during 18 months. Total cases were randomly divided
in non-loop and with loop group. Operative procedure was same. Cases were compared in terms of operating
time, post-operative hospital stay and complications.
Results: Total patients were 66. Thirty two in non-loop group and 34 in with loop group. Mean age was 27.89
yrs. Most of the cases were females (62%). Mean operating time was less in loop group although statistically not
significant. There was no difference in post operative hospital stay. Use of loop was not associated with added
complications.
Conclusion: Use of percutaneous loop to hold the appendix reduces the operating time and replaces the need of
fourth port. It is safe and effective without any increased morbidity.
Key words: Laparoscopic appendectomy, Intracorporeal knot, Percutaneous loop
Description
Joshi MR1 , Shrestha SK2 , Thapa PB 1, Koirala U1 , Bhattarai P1 , Dongol UMS1 , Singh DR2 , Sharma SK31 Lecturer, 2 Assistant Professor, 3 Assoc. Professor and HOD, Department of Surgery, Kathmandu MedicalCollege, Sinamangal, Kathmandu, Nepal