ArticleCureus2025
Comparison of Polymer Clips Versus Endoloop Ligatures for Appendiceal Stump Closure in Laparoscopic Appendectomy.
Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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1 citing paper in PubMed.
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Authors and funding
3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
objectiveThis study aimed to compare the safety and effectiveness of endoloop ligatures (ELs) (Ethicon India Pvt. Ltd., Mumbai, India) and polymer clips (PCs) (Medtronic India Pvt. Ltd., Hyderabad, India) for appendiceal stump closure during emergency laparoscopic appendectomy.
methodsA prospective clinical study was conducted at Employees' State Insurance Corporation (ESIC) Medical College and Hospital, Hyderabad, India, including 70 patients who underwent laparoscopic appendectomy. Patients were randomly assigned to either the PC or EL group. Data collected included operative time, postoperative pain (measured using the visual analog scale), length of hospital stay, and postoperative complications.
resultsBaseline characteristics were comparable between the two groups. The PC group had a significantly shorter hospital stay (3.63 ± 0.77 vs. 4.20 ± 0.93 days; p = 0.007) and shorter operative time (61.46 ± 10.76 vs. 68.03 ± 8.80 minutes; p = 0.006) compared to the EL group. Postoperative pain scores were also significantly lower in the PC group at one, three, six, and 12 hours after surgery (p = 0.001). Although the overall incidence of complications did not differ significantly, abdominal pain and surgical site infections were less frequent in the PC group.
conclusionPCs are a safe and effective alternative to endoloops for appendiceal stump closure in laparoscopic appendectomy. They offer the advantages of reduced operative time, shorter hospital stays, and lower postoperative pain.
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