Evidence map›Paper›PMID 40182834›Full record

ArticleJSLS : Journal of the Society of Laparoendoscopic Surgeons

Nonabsorbable Polymeric Clips for Appendicular Stump Closure during Laparoscopic Appendectomy.

Mohammed S Foula, Hassan Alsaleem, Ahmed Eldamati, Naser M Amer, Ali H Alsaffar, Hefzi Alratrout, Mohammed Sharroufna, Waleed A Elsayed, Hazem Zakaria

Abstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in JSLS : Journal of the Society of Laparoendoscopic Surgeons. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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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

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

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5 · Who and what money

Authors and funding

9 authors.

Mohammed S FoulaDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Hassan AlsaleemDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Ahmed EldamatiDepartment of Surgery, Alexandria University, Alexandria, Egypt. (Dr Eldamati).
Naser M AmerDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Ali H AlsaffarCollege of Medicine, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Dr. Alsaffar).
Hefzi AlratroutDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Mohammed SharroufnaDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Waleed A ElsayedDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).
Hazem ZakariaDepartment of Surgery, King Fahd University Hospital, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia. (Drs. Foula, Alsaleem, Amer, Alratrout, Sharroufna, Elsayed, and Zakaria).

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Acute appendicitis is the most frequent cause of emergency surgical procedures performed worldwide. Laparoscopic appendectomy (LA) has gained considerable popularity in the last decades. However, the ideal method for appendicular stump closure during LA is still debatable and depends on the surgeon's preference and intraoperative judgment. The endoloop ligatures (EL) is the most used method but its application is quite challenging. The efficacy of nonabsorbable polymeric clip (PC) has been proven and it was first described for appendicular stump closure in 2007. Methods: A retrospective comparative cohort study was conducted including all consecutive patients who underwent LA from January 2017 to the end of 2023 in a tertiary university hospital. Data were retrieved from their electronic medical files. The patients were classified into 2 groups. The appendicular stump was closed using EL, in the first group, and using PC, in the second group. The calculated operative time started from the patient's entry to the operating theatre till transfer to the recovery room. Results: Out of 556 patients who underwent LA, 483 patients were included and classified into Group I (313 patients with EL), and Group II (170 patients with PC). Intraoperatively, complicated acute appendicitis was found in 27.8% and 36.5% and the median diameter of the appendix was reported 10 and 11.4 millimeters, respectively. The procedure was significantly shorter using PC (70 minutes vs 75 minutes, Conclusion: The use of nonabsorbable PCs is safe and feasible for appendicular stump closure during LA for acute appendicitis.

Indexed as

AppendectomyAppendicitisLaparoscopySurgical InstrumentsAdolescentAdultAgedEquipment DesignFemaleHumansMaleMiddle AgedOperative TimePolymersRetrospective StudiesTreatment OutcomePolymersAcute appendicitisAppendectomyComplicationsEndoloopLaparoscopic appendectomyPolymeric clips

Identifiers

PMID40182834
PMCPMC11967720

What OpenQuestion holds

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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.