Evidence map›Paper›PMID 19440790›Full record

ArticleSurgical endoscopy2009

Hem-o-lok plastic clips in securing of the base of the appendix during laparoscopic appendectomy.

Samir Delibegović, Ervin Matović

Registry-linked trialAbstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in Surgical endoscopy, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07689123 (Evaluating the Outcome of Surgical Clip Versus Ligatures in Securing Base of Appendix in Laparoscopic Appendicectomy. A Randomized Controlled Single Blinded Study), which is not on this map. Cited by 35 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
35citing papers in PubMed, 3 pooled it
3.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT07689123 nacompletednot on this mapstarted 2025, after this paper: background citation

Evaluating the Outcome of Surgical Clip Versus Ligatures in Securing Base of Appendix in Laparoscopic Appendicectomy. A Randomized Controlled Single Blinded Study

TypeinterventionalSponsorUniversiti Sains MalaysiaRan2025 to 2026Enrolled64ConditionsAppendicitis (Diagnosis)Armssingle polymeric clip (XXL Click'aV Plus, Grena), suture ligature
3 · Its place in the literature

Who cites it

35 citing papers in PubMed, 3 syntheses or guidelines pooled it, 82 citations in OpenAlex.

  1. Pooled it
  2. The use of polymeric clips in securing the appendiceal stump during laparoscopic appendicectomy: a systematic review.European journal of trauma and emergency surgery : official publication of the European Trauma Society · 2019
    Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Safety and Efficacy of Polymeric Clips for Appendiceal Stump Closure.JSLS : Journal of the Society of Laparoendoscopic Surgeons
    Trial
  7. Article
  8. Article
  9. Chronic pain from retained Hem-o-lokTranslational pediatrics · 2026
    Article
  10. Observational
  11. Article
  12. Comparison of three different methods for stump closure in laparoscopic appendectomy: Endoloop, Hem-o-lok clip, and endostapler.Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2024
    Article
  13. Review
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  16. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors at 1 institution in 1 country.

Samir DelibegovićDepartment of Surgery, University Clinic Center, Tuzla, Bosnia and Herzegovina. delibegovic.samir@gmail.com
Ervin Matović
University Clinical Center Tuzla · BA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDuring laparoscopic appendectomy (LA), the standard technique in securing of the base of the appendix is by endoloop ligatures. However, application of the endoloop demands dexterity and a short training, while hem-o-lok clips may be more advantageous to use due to their simplicity of application and low cost. The objective of this study was to evaluate the technical feasibility and eventual advantages of this way of securing of the base of the appendix. PATIENTS AND

methodsProspective study was conducted in the period from August 2006 to August 2008. The patients were divided into two groups; in the first group the base of the appendix was secured by double endoloop ligatures, while in the second group it was done by double nonabsorbable hem-o-lok clips. The data collected included age, gender, operative time, hospital stay, costs, and intra- and postoperative complications.

resultsThere was no difference in hospital stay between the two groups of patients; mean operative time was 47.1 ± 6.7 min in the first group where the base was secured by endoloop ligatures, and was 38.7 ± 5.0 min in the group where the base was secured by hem-o-lok clips. The cost of the three hem-o-lok clips was <euro>76.9, and that of the three endoloop ligatures was <euro>88.5. In hem-o-lok group of patients, one intraoperative complication was observed, involving bleeding of mesoappendix. There were no postoperative complications in either group of patients.

conclusionThe simplicity of application, shorter time of operation, and lower cost of hem-o-lok clips are advantages of this way of securing of the base of the appendix in relation to the standard endoloop procedure.

Indexed as

AdolescentAdultAgedAppendectomyAppendicitisEquipment DesignFeasibility StudiesFemaleHumansIntraoperative ComplicationsLaparoscopyLength of StayMaleMiddle AgedProspective StudiesSurgical Instruments

Identifiers

PMID19440790
OpenAlexW1984960522

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.