ArticleLangenbeck's archives of surgery2010
Laparoscopic appendectomy using a single polymeric clip to close the appendicular stump.
Article in Langenbeck's archives of surgery, 2010. 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 32 papers, 3 of them syntheses that pooled it.
What it found
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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.
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.
Evaluating the Outcome of Surgical Clip Versus Ligatures in Securing Base of Appendix in Laparoscopic Appendicectomy. A Randomized Controlled Single Blinded Study
Who cites it
32 citing papers in PubMed, 3 syntheses or guidelines pooled it, 74 citations in OpenAlex.
- Effect of endoscopic loop ties in acute appendicitis on wound infection rate: A meta-analysis.International wound journal · 2023Pooled it
- 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 · 2019Pooled it
- Closure methods of the appendix stump for complications during laparoscopic appendectomy.The Cochrane database of systematic reviews · 2017Pooled it
- Single versus double Hem-o-lok clips to secure the apendiceal stump during laparoscopic appendectomy: a prospective randomized multicentric clinical trial.Langenbeck's archives of surgery · 2024Trial
- Advantages of using a polymeric clip versus an endoloop during laparoscopic appendectomy in uncomplicated appendicitis: a randomized controlled study.World journal of emergency surgery : WJES · 2023Trial
- Absorbable polymeric surgical clips for appendicular stump closure: A randomized control trial of laparoscopic appendectomy with lapro-clips.Oncotarget · 2016Trial
- Safety and Efficacy of Polymeric Clips for Appendiceal Stump Closure.JSLS : Journal of the Society of Laparoendoscopic SurgeonsTrial
- Chronic pain from retained Hem-o-lokTranslational pediatrics · 2026Article
- Polymeric clips versus staplers for appendiceal stump closure in laparoscopic appendectomy: a retrospective observational study.World journal of emergency surgery : WJES · 2026Observational
- 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 · 2024Article
- Laparoscopic appendectomy, stump closure and endoloops: A meta-analysis.World journal of gastrointestinal surgery · 2022Article
- Comparison of Two Stump Closure Techniques in Laparoscopic Appendicectomy: A Single-Centre Prospective Cohort Study.Cureus · 2022Article
- Comparison of Handmade Endoloop Versus Polymeric Endoclip for Stump Closure in Laparoscopic Appendectomy.Cureus · 2021Article
- Re-evaluation of purse string suture in laparoscopic appendectomy.Surgical endoscopy · 2020Article
- Appendiceal stump closure with polymeric clips is a reliable alternative to endostaplers.The Journal of international medical research · 2020Article
- A comparison of non-absorbable polymeric clips and staplers for laparoscopic appendiceal stump closure: analysis of 618 adult patients.Langenbeck's archives of surgery · 2019Article
- Polymeric clips are a quicker and cheaper alternative to endoscopic ligatures for securing the appendiceal stump during laparoscopic appendicectomy.Annals of the Royal College of Surgeons of England · 2018Article
- Appendiceal stump closure using polymeric clips reduces intra-abdominal abscesses.Langenbeck's archives of surgery · 2016Article
- Comparison the effect of stump closure by endoclips versus endoloop on the duration of surgery and complications in patients under laparoscopic appendectomy: A randomized clinical trial.Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences · 2016Article
- Comparison of the results of laparoscopic appendectomies with application of different techniques for closure of the appendicular stump.World journal of emergency surgery : WJES · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe aim of this study was to evaluate the feasibility, morbidity, and cost-effectiveness of the closure of the appendicular stump with a single non-absorbable polymeric clip compared with the closure of the appendicular stump with a stapler.
methodsFrom January 2009 to December 2009, 82 patients, 31 males and 51 females (mean age of 35.4 years; range of 17 to 79 years), were included in this prospective, non-randomized trial. In 56 patients, the appendicular stump was closed by staplers, and in 26 patients, a single Hem-o-lok MLX polymeric clip was applied. The data collected included age, sex, time of surgery, costs, time of hospitalization, day-time of surgery, complications, and preoperative white blood count (WBC) and c-reactive protein (CRP).
resultsThere were no differences between the two groups regarding age, sex, WBC, CRP, and time of hospitalization. Time of surgery was longer in the clip group due to the introductory phase. Morbidity did not differ significantly and was highly acceptable in both groups. The costs of one set of Hem-o-lock clips were negligible compared to staplers (19.94 euros versus 356.43 euros).
conclusionsThe use of a single non-absorbable polymeric clip is easy to use even for surgical trainees; it is safe and cost-effective. We suggest the use of a single clip for the closure of the appendicular stump as the standard procedure in laparoscopic appendectomy whenever possible.
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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.