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Completed

NCT Number: NCT04387370

The Use of the Hem-o-lok Clip in Appendectomy: Single or Double?

Stump safety is provided by different methods in laparoscopic appendectomy. Stapler use, binding with endoloop and nonabsorbable clip are the most common methods. Although the stapler is safe, it creates a significant cost increase. In connecting with the endoloop, the learning curve and surgical time are longer. Nonabsorbable clip application which has been used recently; Urethra was also used in appendectomy after its safety has been proven by large studies to close cystic ducts and vascular structures. Its advantages such as low cost, no need for a learning curve and shortening the surgical time have increased the frequency of use.In this prospective observational study; It will be aimed to investigate the effects of stump closure methods applied in laparoscopic appendectomy on short-term clinical results. In addition, the factors that determine the surgeon's stump closure method and cost results will be tried to be determined.

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Key information

Conditions

Acute Appendicitis Appendicitis Cecal Diseases Digestive System Diseases Gastroenteritis Gastrointestinal Diseases Infections Intestinal Diseases Intraabdominal Infections

Age range

18 year–100 year

Sex eligibility

All sexes

Study type

Observational

Primary location

Dicle University Medical of School, Department of Gastrointestinal Surgery

Diyarbakır, 21280, Turkey (Türkiye)

About this study

Detailed explanation will be made later if necessary.

Who can participate

Healthy volunteers accepted: No

Only the study team can determine whether someone qualifies for participation.

Inclusion criteria

  • diagnosis of acute appendicitis
  • Performing laparoscopic surgery
  • Patients with an ASA score of I-II-III

Exclusion criteria

  • Appendectomies with the patient's refusal to participate in the study
  • Open surgery
  • Primary pathology without appendicitis

Treatment and study plan

Primary outcomes

  1. Is it safe to close the appendix stump with a single hem-o-lok clip?

    Time frame: one year

    Complications of patients using single and double clips will be compared according to Clavien-Dindo scoring system.

Secondary outcomes

  1. The effect of single and double hem-o-lok clips on cost in laparoscopic appendectomy

    Time frame: one week

    With the use of a single clip, surgery costs are expected to be less in dollars.Student's t-test will be used for cost analysis.

Sponsors and collaborators

Lead sponsor

Ulas Aday

Other Gov

Registry information

Official study title

Comparison of Single and Double Hem-o-log Clips in Laparoscopic Appendectomy

Important dates

Study start
2020
Primary completion
2023
Study completion
2023
First posted
May 13, 2020
Registry last updated
Apr 19, 2023

OpenTrials presents study information sourced from ClinicalTrials.gov. The official registry record should be consulted for the latest information.

View the official ClinicalTrials.gov record (opens in a new tab)

This listing is for discovery and informational purposes only. It is not medical advice, does not guarantee that a study is recruiting, and does not determine eligibility. Contact the study team and a qualified healthcare professional when considering participation.

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