Non Absorbable Clips vs Endoloops in Laproscopic Appendicectomy
Non Absorbable Clips vs Endoloops in Laproscopic Appendicectomy
a) Compare between Nonabsorbable Polymeric Clips and Endoloop ligatures regarding:

 1. technical difficulties.

 2. operation time.

 3. cost effectiveness.

 4. postoperative complications.

 5. inpatient stay.
Laparoscopic appendectomy is gradually evolving as the 'gold standard' in the treatment of
 acute appendicitis, especially in the obese, elderly, and in cases where the diagnosis is
 uncertain . There are clear benefits with the laparoscopic approach in terms of decreased
 pain and faster recovery than the open approach . However, disadvantages like a higher
 incidence of intra-abdominal collection, longer operating time, and higher costs have been
 documented. These may be dependent on the technique of appendicular stump closure. Therefore,
 the technique for appendiceal stump closure is crucial in laparoscopic appendectomy.

 Laparoscopic appendectomy was first described by Semm in 1983 and is currently preferred
 approach for an appendectomy for many surgeons. Numerous methods of stump closure have been
 used, like intracorporeal suturing of the stump endoloop application, endostapler application
 LigaSure customized titanium clip application, and, more recently, using nonabsorbable
 plastic clips . Many of these techniques are either time consuming or expensive, or not
 available universally.
Inclusion Criteria:

 -  . Able to give informed consent for inclusion in the study

 -  Age of the patient : Any age

 Exclusion Criteria:

 -  • Intraoperative decision to convert to open appendicectomy

 -  Primary open appendicectomy

 -  Unable to give informed consent for participation in the study