Evaluation of Stump Pressure in Three Types of Appendectomy: Harmonic Scalpel, LigaSure, and Conventional Technique

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dc.contributor.authorYavuz, Alper
dc.contributor.authorBulus, Hakan
dc.contributor.authorTas, Adnan
dc.contributor.authorAydin, Altan
dc.date.accessioned2024-09-18T20:57:05Z
dc.date.available2024-09-18T20:57:05Z
dc.date.issued2016
dc.departmentHatay Mustafa Kemal Üniversitesien_US
dc.description.abstractIntroduction and Objective: Appendectomy is one of the most common operations carried out by general surgeons. The recent introduction of the alternative energy-based devices in surgery and their use in the laparoscopic appendectomy shortened the duration of operations, but these devices are used generally for meso dissection. These devices did not receive wide acceptance among surgeons as there is not enough evidence confirming their use in appendicular lumen operations. Our objective in this study was to test the safety of three types of appendectomy. Materials and Methods: Twenty-four cases with right hemicolectomy or subtotal colectomy were enrolled into this study. The patients were distributed in three groups. After the colectomy specimen was removed, in Group 1 conventional appendectomy (it was dissected with mesoappendiceal fixation and with electro cauterization) was performed in the operating room, the appendicular stump was ligated with a silk suture; in Group 2 appendectomy was performed with LigaSure and the stump was closed also with LigaSure; in Group 3 appendectomy was performed with Harmonic Scalpel and the stump was closed also with Harmonic Scalpel. Stump opening pressures were measured in all patients in the groups. Results: Three groups were compared in terms of age, gender, concomitant diseases, clinical diagnosis, previous operations, pathological findings, and applied maximum pressure levels. No statistical difference was detected among the groups. Conclusion: Appendectomies carried out with LigaSure and Harmonic Scalpel are as safe as appendectomies carried out with the conventional methods.en_US
dc.identifier.doi10.1089/lap.2015.0551
dc.identifier.endpage953en_US
dc.identifier.issn1092-6429
dc.identifier.issn1557-9034
dc.identifier.issue12en_US
dc.identifier.pmid27120107en_US
dc.identifier.scopus2-s2.0-85003561722en_US
dc.identifier.scopusqualityQ2en_US
dc.identifier.startpage950en_US
dc.identifier.urihttps://doi.org/10.1089/lap.2015.0551
dc.identifier.urihttps://hdl.handle.net/20.500.12483/12281
dc.identifier.volume26en_US
dc.identifier.wosWOS:000390353700002en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMary Ann Liebert, Incen_US
dc.relation.ispartofJournal of Laparoendoscopic & Advanced Surgical Techniquesen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectsleeve gastrectomyen_US
dc.subjectleakageen_US
dc.subjectreinforcementen_US
dc.titleEvaluation of Stump Pressure in Three Types of Appendectomy: Harmonic Scalpel, LigaSure, and Conventional Techniqueen_US
dc.typeArticleen_US

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