Analysis of stapling versus endoloops in appendiceal stump closure

Beldi, G; Vorburger, S A; Bruegger, L E; Kocher, T; Inderbitzin, D; Candinas, D (2006). Analysis of stapling versus endoloops in appendiceal stump closure. British journal of surgery, 93(11), pp. 1390-3. Bristol, UK: John Wright & Sons 10.1002/bjs.5474

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BACKGROUND: The effectiveness of various appendiceal stump closure methods has not been evaluated systematically. The aim of this study was to compare the morbidity of stump closure by stapling or use of endoloops. METHODS: A non-concurrent cohort study of prospectively acquired data was performed. The primary outcome variable was the rate of intra-abdominal surgical-site infection. Secondary outcome measures were complications, duration of intervention, hospital stay, rate of readmission to hospital and the difference in direct costs of the operation. RESULTS: Staples were used in 60.5 per cent and endoloops in 39.5 per cent of 6486 patients operated on for suspected appendicitis between January 1995 and December 2003. Among 4489 patients with acute appendicitis the rate of intra-abdominal surgical-site infection was 0.7 per cent in the stapler group and 1.7 per cent in the endoloop group (P = 0.004). The rate of readmission to hospital was 0.9 and 2.1 per cent respectively (P = 0.001). CONCLUSION: Application of a stapler for transection and closure of the appendiceal stump in patients with acute appendicitis lowered the risk of postoperative intra-abdominal surgical-site infection and the need for readmission to hospital.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Gastro-intestinal, Liver and Lung Disorders (DMLL) > Clinic of Visceral Surgery and Medicine > Visceral Surgery

UniBE Contributor:

Beldi, Guido; Vorburger, Stephan; Brügger, Lukas; Inderbitzin, Daniel and Candinas, Daniel

ISSN:

0007-1323

ISBN:

16862615

Publisher:

John Wright & Sons

Language:

English

Submitter:

Factscience Import

Date Deposited:

04 Oct 2013 14:49

Last Modified:

06 Dec 2013 13:43

Publisher DOI:

10.1002/bjs.5474

PubMed ID:

16862615

Web of Science ID:

000242505700013

URI:

https://boris.unibe.ch/id/eprint/20471 (FactScience: 3922)

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