We found a match
Your institution may have rights to this item. Sign in to continue.
- Title
Effectiveness of different appendiceal stump closure methods in laparoscopic appendectomy a network meta-analysis.
- Authors
Najah, Qasi; Makhlouf, Hamdy A.; Abusalah, Mariam A.; Aboelkhier, Menna M.; Rashed, Mohamed Abdalla; Kashbour, Muataz; Awwad, Sara Adel; Ali, Fatmaelzahraa Yasser; Hendi, Nada Ibrahim; Diab, Sherein; Abdallh, Fatima; Abozaid, Ahmed Mohamed; Alabdallat, Yasmeen Jamal
- Abstract
Purpose: Choosing the best stump closure method for laparoscopic appendectomy has been a debated issue, especially for patients with acute appendicitis. The lack of consensus in the literature and the diverse techniques available have prompted the need for a comprehensive evaluation to guide surgeons in selecting the most optimal appendiceal stump closure method. Methods: A comprehensive search was conducted on multiple databases from inception until December 2023 to find relevant studies according to eligibility criteria. The primary outcome was the incidence of total complications. Results: 25 studies with a total of 3308 patients were included in this study, overall complications did not reveal a significant advantage for any intervention (RR = 0.72, 95% CI: 0.53; 1.01), Superficial and deep infection risks were similar across all methods, Operative time was significantly longer with endoloop and Intracorporeal sutures (MD = 7.07, 95% CI: 3.28; 10.85) (MD = 26.1, 95% CI: 20.9; 31.29). Conclusions: There are no significant differences in overall complications among closure methods. However, Intracorporeal sutures and endoloop techniques were associated with extended operative durations.
- Subjects
APPENDECTOMY; APPENDIX (Anatomy); SUTURING; APPENDICITIS; AUTHORSHIP
- Publication
Langenbeck's Archives of Surgery, 2024, Vol 409, Issue 1, p1
- ISSN
1435-2443
- Publication type
Article
- DOI
10.1007/s00423-024-03452-3