Titanium Endoclips vs Endoloop Closure of Appendix Stump in Laparoscopic Appendectomy

Introduction Stump ligation& burial which was a standard technique in open appendectomy is now replaced by various methods of stump closure in laparoscopic appendectomy. Techniques commonly employed are Endoloop, Endoclips made of Titanium or Polymer, Intracorporeal suturing, Endostaplers etc. Our Study is conducted in a tertiary care centre where 196 diagnosed patients of appendicitis were subjected to laparoscopic appendectomy in last 2 years& divided in 2 groups. Material and Method In our series stump was managed by using 1) Endo-loop 2) Endoclip and were followed for period of 3 months. Inclusion criteria 1 Patients of acute/recurrent appendicitis after valid informed consent. Exclusion criteria1) Patients who are unfit for laparoscopic procedure 2) Patients with appendicular lump/ gangrenous base/ dense adhesions. Results Results were compared on following parameters 1) Operative time 2) Complications 3) Hospital Stay 4) Cost. The results are compared& it was observed that the technique of stump closure using Titanium Endoclips in laparoscopic appendectomy is found to be safe& effective, easily performed& reduces the cost. Conclusion Titanium Endoclips are considered to be safe, time saving method of stump closure.